HomeMy WebLinkAboutBLD19079 Final Mobile Home - BLD Permit / Conditions - 6/18/1987 TYPE MOBILE HOME
Permit No.
,�. No. Floors Sq Ftg 720
Owner BURGESS, Frank Tel Date 7-14-86
Address NE 643 Blacksmith Dr. Bremerton Zip
Contractor Self
Address Zip
Legal Description Blacksmith Lake Lot
Direction to project Old Belfair Hwy to Bear Cr.-
Dewatto Rd. 8 miles to Blacksmith Dr. , 1.4 miles on
Blacksmith Dr. to Lot 45 on left.
Plumbing Mechanical Seuer Wood Stove
Fireplace Deck Garage Carport � Q,4e
Basement Loft Other
/9." Sx.V / .t5�o/r�rs • � fix✓/rn
------------
Shorelines: IV A Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL: U i T` 9 ) t
Mobile Home:
Smoke Detect
Remarks:
Footing
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED`
PERMIT NO. / / D 79
ME MAIL DRESS CITY&STATE ZIP PHONE
OWNER P j
DIRECTIONS
TO JOB SITE
LEGAL �{
DESCR.
NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF ,
BUILDING
WORK ✓CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK J^
BEDROOMS DECKS CARPORT a NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS�_ TOTAL SQ.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 d DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT 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
REQUIREMENTS 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.
XOWNER wL'G /-" XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION _
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT G/a
D.O.T. BUILDING PLAN CHECK
SP CIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
i
PLUMBING
MECHANICAL
STATE BUILDING FEE `5G
4
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY j APPIROV,�OR I§SUAN E PERMIT VALIDATION
r?zf, 'l-' TOTAL
CASH CK MO