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HomeMy WebLinkAboutBLD22105 Final Mobile Home - BLD Permit / Conditions - 10/18/1988 Shorelines: Plumbing: Setback: oi` Mechanical : Special Interior: Conditions: FINAL: �f /D /8 Mobile Home: Smoke Detector: Footing: Remarks: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 22105 No. Floors Sq Ftg 720 Owner EBERT ,Dennis W Tel 674-2531 Date Address 4663 SW Old Clifton Rd Pt-Orchard Zip 6-7-88 Contractor Self Zp Address Zip Legal Description Mission Creek B1 5 Lot 3 Direction to project site put Northshore Right on M;��• ad l�r ' 1 aft nn c+oei 7 _a Rn Near end of left side Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 1968 12x60 2 bdrm I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED 6- PERMIT NO. l Q NAME MAIL ADDRESS • CITY&STATE ZIP PHONE OWNER N1� O(C 4APAZbWA DIRECTIONS � � �Ct^' TO JOB SITE c �`�''� nn C�-�Qk�C-6 A E PARCEL LEGAL J 1 3 i tJ ")� llls&o")1. ac' v� s NUMBER p���S�l,,��Jt�� DESCR. (��'� I�L�C•�'� AME M L ADDRESS CITY&STATE LICEME N . n(� IP PHONE CONTRACTOR N 'IS - •� er.3 QfS� 7 ©i2Ya j cJs USE OF BUILDING _vrvj-A&4'rj CLASS OF NEW ADDITION 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 STORIES 1- 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME 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 OBTAININ ROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. n C � XOWNER ' . DATE J5l�/((��j XBY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO 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 -G STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHkCK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL 'J '.` ��� �� BY CASH CK MO �' �76