HomeMy WebLinkAboutBLD27691 Final Mobile Home - BLD Permit / Conditions - 4/4/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:d/- 31,
Mobile Homeve Z.20 ,4.rc
Smoke Detector:,*�
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 27691 No. Floorsl Sq Ftg 816
Owner _Montaompry, pan Tel 47q-?q6l Date 3_1_,-q1
Address 133 N L rinn Ave J1 RremArtnn Zip
Contractor Mobil(- -Home Spec.
Address Zip
Legal Description Tr �U q-23-2
Direction to project site Bear Creek nPwattn Rri tit
pavement end-, on to the I and -,tag nn main rd fnr 2 3 mi
Plumbing ec anica ewer Wood Stove
Fireplace Deck Garage Carport
Basement soft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED ��7�/���'
PERMIT NO. Cl /[n91
OWNER AME MAILADDRES CITY&STATE ZIP PHONE
DIRECTIONS /� / _ ��((
TO JOB SITE G f Pc> �D �'iiLl� /p C/N01� EAd 4w �lrtc- lelck
s o 2. 3mile—so L -0 S— — &
PARCEL ^^ Aa309 77 LEGAL In
4 ,2
`f NUMBER /�f' DESCR. A 9 S✓k
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONIE
CONTRACTOR (� PCC, D - A Z24f &
USE OF
BUILDINGCLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK 14ILVLC AML� IQc9 11C-S$f7 WA 14�JD�i� S, rt
BEDROOMS 2 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS _ _ TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 1_ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
GG'',, COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. O� FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT -7-- SHORELINE
SEA
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
O T NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
D
X OWNER / DATE Z 5 X BY __- DATE
FOR OFFICE USE ONLY
DEPARTMENT Y SPPROVEDJO DEPARTMENT YEAPPROVEDIO BUILDING VALUATION �—
J
HEALTH `� PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING a�/ PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
✓b V ,� SHORELINE
U �C WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE �=
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHEEK flY APPROVED FOR(ISSUANCE PERMIT VALIDATION
BY ��� \� ) CASH CK MO TOTAL j9. 0C
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