HomeMy WebLinkAboutBLD19683 Final Mobile Home - BLD Permit / Conditions - 2/18/1987 TYPE MOBILE HOME
Permit No. 19683 No. Floors 1 Sq Ftg1248 -
Owner DROGMUND, Ted R. `del 426-4528 Date 12-16-86i
Address E 3187 Brockdale Shelton Zip
Contractor Johnson & Maddox
Address Zip
Legal Description S 2081 , E 2081 , NW,SE 31-21-3
Direction to project site Down Brockdale, 2nd drive to
left past McQuin Prairie Rd. All the way to end of
drive
P ing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement --loft tether
1975 24x52 3 bdrm
Shorelines: Plumbing:
Setback: Me-chanicaT-
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
N ME MAILADDRESS CITY&STATE. ZIP PHONE
OWNER 9-2
DIRECTIONS
TO JOB SITE Dexin
&i I lie w `1a r,JLEGAL
DESCR. � She LI JI 3 u.l.Q,Sf
NAME AILADDRESS CITY&STATE LICE SE NO. ZIP PHONE
CONTRACTOR mg)pot\
USE OF
BUILDING
CLASS OF NEW ADDITION REPAIR MOVE y/ REMOVE
WORK
DESCRIBE
WORK lt. r j Aq i a ortre
BEDROOMS_ DECKS AtC CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ TOTAL SQ.FT.§, UYd GARAGE CONDITIONING.
NO.OF STORIES 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
TOTAL SQ.FT. JZA FIREPLACE DETACHED ABANDONEDFORA PERIODOF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT '� SHORELINE
SEASONAL
OWNERS IDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
CERTIFY
LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS 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 CO
MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEP TMENT. ryrnI APPROVAL FROM THE BUILDING DEPARTMENT.
X ER a ATE b d X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
NO DEPARTMENT YES NO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP L— PRE-INSPECTION
Z S SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CH CK BY %J APPROVED FOR IS UANCE PERMIT VALIDATION
, /�/ BY TOTAL
CASH CK MO