HomeMy WebLinkAboutBLD18972 Mobile Home - BLD Permit / Conditions - 7/15/1986 TYPE MOBILE HOME
Permit No. 18972 No. Floors Sq Ftg 700
Owner WINSLOW, Florine Tel Date 7-15-86
Address _ P. 0. Box 1475 Zip
contractor Sun Mobile Home Sales
Address Zip
Iegal Description N-142 11-23-2
Direction to project site
NE 6470 Elfendahl Pass Belfair
Plumbing Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1980 14x50 2 bdrm.
Shorelines: pl Lubi
Setback: Mecni&
Special Interior:
Conditions: FILL:
Mobile Home:
Smoke Detect .
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing: PERMIT
Fireplace: A + *'; B"I EXP!RA-TSO
Wood Stove:
DA ___--- -
_ BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED ,0/ r
Qa3I 1 - -7&- 0QcaZ PERMIT NO.
NAME PAILADDRESS CITY SSTATE ZIP PHONE
OWNER 5 6 R.a b -
DIRECTIONS r
TO JOB SITE ,VC ® f i ok d
LEGAL DESCR. /a C�7 PC-.C��
r,
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR 6
USE OF +
BUILDING � �
CLASS OF NEW. ,,;, ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
-7 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 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 CONFgAMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
VWNER
GAPPROVAL F THE BUILDING DEPAR MENT. APPROVAL FROM THE BUILDING DEPARTMENT.
' } "� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
SPPROVE NO DEPARTMENT YES NO
BUILDING VALUATION "a
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK10
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE ,
PP A PTED BY LANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MID
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• 4 C2�+N I o
o XO
D+y[LL/NC AcoiTiotir /0/
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et
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TYPICAL PLor OZAM _
This .is a sample of how we wish.a • • 1 "
done to scale, but the measuresmentsot to look. It does not need to be
the true distances. Please indi given should be representative of
� f your drainfield system is installed.
In the case of shoreline situations, it is necessary
of the structures on the adjacent lots and their setbacckshow fr mt Position
shore
line.
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