HomeMy WebLinkAboutBLD0567 Final Mobile Home - BLD Permit / Conditions - 4/28/1989 Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL: evCar011
Mobile Home:
Smoke Detector.
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
TYPE MOBILE HOME
Gr r`,
Permit No. 0567 No. Floors�r� Sq Ftg 768
OwnerJOHANSE ,1 , William R. II Te1871-4023 Date 8-25-87
Address P 0 Box 5041 Be fair Zip
Contractor None
Address Zip
Legal Description Por NW,NW G L 2 10-23-2 Tr. 51
Direction to project site To Blacksmith Tracts, turn
right, lst driveway from end of road —
um ing Mechanical Sewer Wood Stove
Fireplace Deck Garage _ Carport
Basement Loft Other _
197T-24x32 2-bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON WASHINGTON 98584
426-5593 DATE ISSUED
S�
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER W I I-LIM e• tilt) - LT P-U BOX50 3t A 2 W14 9 F5a ??I-VOX3
DIRECTIONS
TO JOB SITE 111 P Q
-19
PARCEL LEGAL c�
NUMBER ,.,_ jO 7 1 7 eosl DESCR. 4rmLl7E D r,_ "1
NAME MAIL ADDRESS CITY R STATE LICENSE NO. ZIP PHONE
CONTRACTORUSE OF
N
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE t/ REMOVE
WORK ✓ n
WORK DESCRIBE PQ UE MO&LtF 740ME
1
i
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT 1if SHORELINE
SEASONAL
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY;'THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIROAENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE L�et� `� ATE f �/ X BY DATE
FOR OFFICE USE ONLY
APPROVED
YES NO YES NO
DEPARTMENT APPROVED DEPARTMENT BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING �(� FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
�\y- SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
I
STATE BUILDING FEE s
STATE SURCHARGE
APPLICATION ACCEPTED I P ECK APPR R ISS PERMIT VALIDATION
TOTAL
CASH CK MO
MASON COUNTY TITLE INSLMANCE COr•111ANY
No. 52019
"EXHIBIT A"
IN MASON COUNTY, WASHINGTON
That portion of the Northwest quarter (NW4) of the Northwest quarter
(NW O (Government Lot 2) of Section ten (10) , Township twentythree
(23) North, Range two (2) West, W.M. , described as follows:
COMMENCING at the Noy Lhwesc. corner of the Northwest quarter
of the Northwest quarter (IrNA.) (Government Lot 2) of Section 10,
Township 23 North, Range 2 West, W.M. ; thence South 02°17 '38" East
along the West line of said subdivision 259 .69 feet to the True
Point of Beginning_;___thence continuing South 02°17138" East along
said West line 280 .09 ' feet; thence South 88.°30 ' 32" East parallel
with the North 1 ni e`-of said subdivision 747*.53• feet; thence, _North
10039100" East feet; thence North '88°3b ' 32" westC11 .08 'feet
to the True Point of Beginning, exceptin4 therefrom road rights-of-
way; said land also known as Tract 5__1 of survey recorded December 5 ,
1983 , in Volume 10 of Surveys, page 103 , under Auditor ' s File No.
422693 .
Map 4-o B)4G k Soi i-K U- Ve-
0
rv1,kn Se-
1 �' TuR1V
7 t3o 'c,,v
u C .Sr, A
1
�I
' O
W
V
S�
�o
,75...3
v