HomeMy WebLinkAboutBLD0641 Woodstove - BLD Permit / Conditions - 4/5/1988 3,S a - 50 _ acow 71,
Shorelines:
Setback: Plumbing:
Special Plechanical:
Conditions: Interior:
FINAL:
Mobile
Swke Detector:
ing: Remarks:
Setback:
Foundation
Walls:
Framing;
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Fhrmit No. 0641 Floors
Owner JOHNSON Jack Ftg
Address P O Box 1119 Tel 275-5400 Date 4-5- 88
COnt=tOr Bing-r Zip
Homestead Heating
Address
Iegal Q'-scription Sam Theler Horne & p
Direction to prof Gar. Tr, Tr 35s1 a NE 600 Roessel Rd
ing isr
Fireplace Deck
Basement —Loft Trage rp
— Caort
Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEDUNIE
PERMITNO.C4 LPL_
MAIL ADDRESS ZIP HONE
OWNER P
CITVSSTATE DIRECTIONS J �Zs r,
nS {)o
TO JOB SITE
PARCEL
NUMBER/ �G ���� DESCLEGAL.
CONTRACTOR NAME MAIL ADDRE S CITY ESTATE CENSE O. ZIP PHONE
USE OF (`I VTNU Q ct- e
BUILDING
CLASS OF
WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK A , 1 _o
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS TOTALSQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR A
CONDITIONING.
NO.OFSTORIES BASEMENT ATTACHED
c THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SO.FT.M FIREPLACE DETACHED COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT '05r- SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI I THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR TION LAW RAM
18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 ORMANCE TH EWITH. NO RANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN GAPPROVALF MT IL GDEPARTM ENT.
APPROVAL FROM THE BUILDING DEPARTMENT.
X ER DATE
X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED EDEPARTMENT APPROVED
YES NOYES NO BUILDING VALUATION
HEALTH WORKSFEE
PLANNING BUILDING PERMITD.O.T. G PLAN CHECK
SPECIAL CONDITIONS G GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING C/
MECHANICAL
STATE BUILDING FEE
tSTATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL