HomeMy WebLinkAboutBLD20941 Mobile Home - BLD Permit / Conditions - 9/22/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Hone:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundat iron
Walls:
Framing:
Fireplace: _
Wood Stove: 277 la/D /.?i
IF r1111 11 11-0ikI
TYPE MOBILE HOME
Permit No. 20941 No. Floors Sq Ftg 1680
Owner BO oyce R Tel _Date 9-22-87
Address NE 51 Lakeview Lane Tahuya Zip
Contractor. None
Address Zip
Legal Description Lake Christine Div 1 Lots 47-48
Direction to project site Lake Christene, left, 2nd left
un ing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1987 28x60 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
V PERMITNO. '������
OWNERnct NAME MAILADDRESS CITY RSTATE ZIP PHONE
DIRECT �r t-l� r 1 LAILVIi,V L►.j �A��� WA .
ONS
TO JOB SITELAVA C4_tQ i_F Z (JD L C� .
_7 xe-'-e
PARCEL
I ,{
NUMBER LE-T 4-i `t-F Isr AR. 4� ppc, \./Cj 'PL AT, .T-1, C.C�,
NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING �j,
CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ /
WORK DESCRIBE C—I { E- -� �l F-1 F k 1
J
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 2 TOTAL SQ.FT.
.� GARAGE i"' CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
CMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. IZ� FIREPLACE��_ DETACHED ABOANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
PERMANENT �> 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O NER DATE X BY DATE
FOR OFFICE USE ONLY
D A TMENT YES No DEPARTMENT YES NO
BUILDING VALUATION 0__�
PHE H - - PUBLICWORKS FEE
N ING FIRE BUILDING PERMIT 161e�9e�l
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY CK APPR R� CE [PERMIT VALIDATIONs ASH cK MO TOTAL A,