HomeMy WebLinkAboutBLD20690 Final Mobile Home - BLD Permit / Conditions - 9/10/1987 Shorelines: AIA Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:Qy 37
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
F
TYPE MOBILE HOME
Permit No. 20690 No. Floors Sq Ftg lo8o
Owner EPPERLY, Fred G Te1876-6172 Date 8-4-87
Address 11986 Triviere Tr. SE Pt Orchard Zip
Contractor Cascade Cons
Address Zip
Legal Description Tr 75-B 10-23-2 (Tr B S/P # 1488)
Direction to project site NE 1120-260 Bear Cre k-D wattn
Plumbing echanica Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
27x40 1986
I
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
re� G. l �&T;v t S �. Pam, (u £'-;& � 7 e / 7
DIRECTIONS v f
TOJOBSITE ��•�� _ •X(!�� �XQ /' (iI"ff/C— L/�«���
PARCEL LEGAL Q C>^e<8 'e -re,a 5 / n� s;rve
NUMBER �S �� DESCR et , u Y �2 0� P,kl {icrf/ lVF
NAME MAILADDRE�S C//-!✓tof, CITY&STATE LICENSE NO. ZIP rr PHONE
CONTRACTOR � ii/ c
CO{L f_(c Cv, /7 SC,aOr J 6"3 JC
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE
WORK
DESCRIBE TTyy
WORK /J Q )2 �v
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
TOTALSQ.FT. FIREPLACE 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.
�. C,
X O N R C, " ATE 7 '-� ��a 7 X BY DATE
FOR OFFICE USE ONLY
DEIP TMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO i
�HLEALAH PUBLIC WORKS FEE
AN. NG �� FIRE BUILDING PERMIT ��, �7�j
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE '
STATESURCHARGE
APPLICATION ACCEPTED BY LA H Y APP PERMIT VALIDATION i
TOTAL
CASH CK MO