HomeMy WebLinkAboutBLD26764 Final Mobile Home - BLD Permit / Conditions - 12/11/1990 l -- -7 - Gcoqo
Shorelines: Plumbing: -
Setback: Mechanics :
Special Interior:
Conditions: FINAL:,07, p
Mobile Hdme:
Smoke Detector:p -
Remarks:
00�lig: 117� � Ak T &FAYDu ry b Ac.A-I�S
Setback: 22 -iz _U-9 o &.-
Foundation
Walls:_
Framing;
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 26764 No. Floors �_ Sq Ftg 1R4R
Owner MACS. n F Tel Date 4_21_An
Contractor
Address p0 ROX 4�5n Ralfair Zip
Address Zip
Legal Description �_2R_9 Tr 9 of Vni 'i/QR
Direction to project site NF 1d1; Tnnnor��;110 Dr
Plumbing c anicaSewer Wood Stove
Fireplace Deck 'arage =arport
Basement soft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
i
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE
OWNER -
DIRECTONS
TO JOB SITEN• C. / OD ! L"c 12R, fA1/z Cal-) c/sISIR
PARCEL LEGAL // 9
NUMBER ,�� 3i17S o0'o IDESCR. [RA(.
i NAME MAIL ADDRESS CITY&�ATE LICENSE NO. ZI��PHONE
CONTRACTOR N Nr E A
USE OF
BUILDING �p/"1
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK i1,c /qo l-q'E 64.
119G�
BEDROOMS 13 DECKS YORN CARPORT NOTICE
TOTAL SQ.FT.
DECK `�� GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 2 TOTAL SQ.FT. AA TOTAL SQ.FT. _(A CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
��
TOTAL SO.FT. 12 TOTAL SO.FT. _!. A CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE _ ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION L RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS OR 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 CONFOWYNCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING rPROVAL FROM THE BUILDING DEPARTMENT. cy APPROVAL FROM THE BUILDING DEPARTMENT.
X O *�� DATE / y �0 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO FMI I �Se/
HEALTH PUBLIC WORKS FEE
PLANNING hS
FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP Ly I PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY A7'VZV ISSUANCE PERMIT VALIDATION /
- C� B CASH CK MO TOTAL p��p(
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