HomeMy WebLinkAboutBLD26800 Mobile Home - BLD Permit / Conditions - 9/26/1990 -77- 00Zg0
Shorelines: Plimbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile cme:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. _26800 No. Floors 1 Sq Ftg ��An
Owner HTR(;TNS, THOMAS M Tel 27�;_tiQ42 Date g_?6_Qn
Address PO ROX 5196 Roar r.rPak Wa Zip
Contractor
Address Zip
Legal Description 9_2R_2
Direction to project site RAar rrk nolaattn cd FrlrllsQA III
_Rd to Mllnenn ArraclgaS Tr 2a
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck ARn gage import
Basement Loft Other
Mn5Gx—I(A
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES 1
P.O. BOX 186 SHELTON, WASHINGTON 98584 >�
427-9670 DATE ISSUED -
PERMIT NO.0 C pco
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
r9omoii /66, f'.',a S'/9�
DIRECTIONS
TO JOB SITE ,BL C Z fG!($ p A , TD
PARCEL LEGAL
NUMBER Z I DESCR SfC , j�W � c Z (,C5�S! /,(),
CONTRACTOR
NAME MAILADDRESS CITY&STATE LI NSE O. ZIP PHONE
S � L
USE OF
BUILDING £ zrvul- /J
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
WORK DESCRIBE `` LC� LC. L/� �' Yvt f,Y�-�!r J oL> V 64-6 FDk
L
BEDROOMS DECKS R N CARPORT NOTICE
TOTAL SO.FT.
DECK V GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATPNG OR AIR
BATHROOMS Z TOTAL SO.FT. TOTAL SO.FT. '* CONDITIONING.
NO.OF STORIES BASEMENT Y ORV THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. ILA TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT, G FIREPLACE 420 ATTACHED
SEASONAL SHORELINE 1�� DETACHED
OWNE SAFFIDAVIT CONTRACTORS AFFIDAVIT
I CER fFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS RATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQU EMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
IWNING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
NE ATE /'Z� � X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
mi4 G .J SI F7— 2) ff fo SHORELINE
7 WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE J
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY A FOR UANCE PERMIT VALIDATION /D r
BY \ CASH CK MO TOTAL f✓^� .
• %s/7-FZ-6 .� a'.27 ems.
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