HomeMy WebLinkAboutBLD21846 Final Mobile Home - BLD Permit / Conditions - 5/12/1988 Shorelines: //%91 Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: 's �?
Mobile:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fi replac:e:
Wood Stove:
TYPE MOBILE HOME
Permit ND. 21846 No. Floors Sq Ftg 1232
Owner LAWHEAD, Timothy Tel 692-9439 Date 4-21-88
Address 77 Blacksmith Lake 6elfair Zip
Contractor None
Address Zip
Iegal Description NE,NW 10-23-2 Tr 77 Survey 11/17
Direction to project site ATTACHED
Plumbing- Mechanical Sealer hbod Stove
Fireplace Deck Garage Carport
Basement Loft Other
1988 28x44 3 bdrm
BUILDING PERMIT APPLICATION
4i MASON COUNTY
° DEPARTMENT of GENERAL SERVICES
\ j1' 'x P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 'f/
PERMIT NO.,-,:?
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
INS T JOB SITE
CLt' T ilL
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR. fJ lD-o??- 7; 7 / /
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP P NE
CONTRACTOR
USE OF
BUILDING
WORK CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK // -1 /'2
BEDROOMS j DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ. GARAGE CONDITIONING.
NO.OF STORI ES 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. FIREPLAC DETACHE ABANDONED
FORA PERIOD OFi80 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT P� 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
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 C FORMANCE THEREWITH. CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB�EER
PPROV L FROM TH U DING DEPARTp)ENT. APPROVAL FROM THE BUILDING DEPARTMENT.
DATE ' J �� XBY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION /�
YES NO YES NO C71
HEALTH- PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE '
STATE SURCHARGE
APPLICATI ACCEPTED BY PLANS CH�K BY APPROV Dy FOR
RISSUANCE PERMIT VALIDATION
BYC/ CASH CK MO TOTAL �� , l