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HomeMy WebLinkAboutBLD N/A Mobile Storage - BLD Application - 7/23/1991 r� BUILDING PERMIT APPLICATION MASON COUNTY r DEPARTMENT of GENERAL SERVICES 'N ` P.O. BOX 186 SHELTON, WASHINGTON 98584 _ 3�� 427.9670 DATE ISSUED �� PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE av o �la�ol 87& ay DIRECTIONS TO JOB SITE v clPARCEL LEGAE NUMBER /J" DESCR. �,. I NAM ' MAIL ADDRESS CI &STATE LICENSE NO. ZIP PHO E CONTRACTOR 5 USE OF 1 BUILDING _ l CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE //I yyyy�/j WORK �� & /0iCS' O BEDROOMS_ DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING. NO.OF STORI ES -I- 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. 520FIREPLACE 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 L WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THER ITH. NO CHANGES SHALL MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL F THE BUILDING DEPA TMENT. APPROVAL FROM THE BUILDING DEPARTMENT. r / OWN DATE X BY 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 THIS PERMIT IS FOR T`HE STORAGE ONLY OF 7L-90BILE HOPE SHORELINE L.0 OCCUPANCY AT ANY TIME. . . DC NOT HOOK MOBILE UP TO ANY WOODSTOVE UTILITIES POTTER SM SEL ER OR 61A1ER PLUMBING PERMIT EXPIRE N 7- - 2 MOBTTF IvUl, MECHANICAL BE TO OLTNTER IF FOUND TO BE IN V STATE BUILDING FEE .,OR STATE CODES. STATESURCHARGE APPLICATION ACCEPTED BY I PLANS CHE K BY� fjB �OVFORISS ANCE PERMIT VALIDATION r CASH CK MO TOTAL ._u -.. ... �_..yy•._�.i:.� +$iT} 1M-- '.;� iY'K" �'iin.�lY.. .1`���.�M� . � _ •�� • • .ice S.acrCCn CrAfq the Masa1 county 2 .. assessor Boa c Ce bzvc rctancly rccaived a copy of Cox cercifi=,cd for mobil• home vovemenc on pcur mobile home_ In ocdec -sac we m.ay -accuracely value you aobila hccc, plcasa Coaplece [he qucscions balov and recuru chi., for= to our office by IC is iape rzcive thac this Lnfoc=tion ba provided to prevenc a possible double 23saz--nt. . UOS IL LICE QATA L E2iCi ( W=7M l a WArW =aa= LCC.%=i= aigv2!I.Tzc2f A -My p r-iva c e l7 o••sed Land- 30 E_ If cancel or Lased Land who from? VAkM LDC2=5 C== & ST = C_ Sea L p:cope c_y Pa r c a L # (cax sracam"ur #) • Q�YalLasLiag asae and address for orr'oL e+obile ho..c ' D A CR=s > �i 7 , /!1 S crrr s S Arr E- Lacacion add.css of Aobilc home CIIY Jr. DaCQ ©cbLlc hC=C Was placcd on prczcnc site C_ Puccl�3s<'lP::cc de TYPE a3 P3LfT