HomeMy WebLinkAboutBLD11827 Final Mobile Home - BLD Permit / Conditions - 1/15/1982 (2) Gowenlock, Harry #11827
(Bone) 12/8/81
I
NE 1/4 of NE 1/4 of 10-23-2
From Toonerville Junction, approx. 2 miles past, turn
left on gravel road with "Buffons" sign. 2nd left turn
driveway on left.
Mobile Home Contractor:
• 1$ 0
)500
L
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: s
Stop W c: _
Mobile Home
Remarks: r
s--
II
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED O
PERMIT NO. lI�i7f 7
NAME MAIL ADDRESS CITY&STATE ZIP �y PHONE
OWNER Z30 oZ �l�Igl/e CQ�/9 8^ a O
DIRECTIONS /�2orrl Too�t/e.Pd/!/e YZ�,o cz llo / _ i4�P�aX' -r/
TO JOB SITE T D /Z`/l r L3[/FiFiyl/cS`�' /I. G� �2� /? •�2iv� Y
LEGAL � � / hi a (a .EACHEDSHEET)
DESCR. '3 N/AQ / '_
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING L 5 e , G
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR VIMOVE ❑ REMOVE
V
Describe work:
41
,�/OC!«c� ��,rd cc� �� /9�o�/e �DG!/Jv' �- �•��.�Ti�ti'�
Valua ' n of work: $ PLAN CHECK FEE PERMIT FEE
11716 S 00 4
a,5
SPECIAL CONDITIONS:
F_
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT.�� GARAGE f
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT Lj ATTACHED L7 OR AIR CONDITIONING.
TOTAL SO. FT._15_6r__; FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FO OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformanc therewith. MOTOR VEHICLE PERMIT
C i� PLICATION ACCEPTED BY PLANS CHECK BY APPROVEUFOR ISSU NCCE
Owner Date I n
P N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
- PLOT PLAN
ADDRESS PERMIT NO. i 0
i o
n s
a o
0
LEGAL
n
DESCRIPTION LOT BILK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
`1I '
I/We certify that the proposed construction will conform to the dimensiMs and uses shown above and that no changes will be made without
first obtaining approval. /SL4�C�
130:
NAME(S) OF OWNERS) OF SITE d STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HCLTON PRINTINi
1 ,
No.. 45304
Exhibit A
A tract of land in the Northeast quarter of the Northeast
quarter of Section 10, Township 23 North, Range 2 West , W.M. ,
described as follows :
Commencing at the Northeast corner of the Northeast quarter of said
Section 10; thence South 03° 32 ' 00" East along the East line of said
subdivision 326 . 66 feet to the True Point of Beginning; thence North
88° 06' 33" West 694. 62 feet ; thence South 02' 51' 07" West
75 . 17 feet; thence on a curve to the right having a radius of
400. 00 feet, a central angle of 28' 16 ' 33" and an arc length of
197. 40 feet; thence South 84° 47 ' 37" East 457 . 73 feet ; thence
South 13° 23 ' 30" West 66 . 87 feet; thence North 89' 29 ' 47" East 335 . 90
feet to the East line of said Section 10 ; thence North 03' 32 ' 00" West
along said ,East line 343. 34 feet to the True Point of Beginning.
Said tract also known as Tract 4 of Survey recorded October 22 , 1979 , in
Book 5 of Surveys , page 138 , under Auditor' s File No . 368714.