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HomeMy WebLinkAboutBLD0034 Final Woodstove - BLD Permit / Conditions - 7/20/1989 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE © l DIRECTIONS TO JOB SITE E j v PARCEL ✓, LEGAL NUMBER ,L © pp�p DESCR. NAME CONTRACTOR MAIL ADDRESS CITY SSTATE LICENSE NO. ZIP PHONE USE BUILDING CLASS OF NEW ADDITION WORK VIALTERATION REPAIR MOVE REMOVE DESCRIBE WORK BEDROOMS DECKS CARPOR NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ. GARAGE CONDITIONING. NO.OF STORI S _ BASEMENT ATTAC D 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 SO.FT. FIREPLACE DETAC ED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELIN SEASONAL OWNERSAF DAVIT CONTRACTORS AFFIDAVIT I CER IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIS RATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQU EMENTS 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT ING APPROVAL FROM THE BUILDING DEPARTMENT. Q APPROVAL FROM THE BUILDING DEPARTMENT. // X NERs�!/l/��dAet-in' DATE tJ X BY DATE FOR 6FFICE USE ONLY DEPARTMENT YES SPPROVENo DEPARTMENT YES No BUILDING VALUATION HEALTH A- PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING a-Alk PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE WPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY —�� CASH CK MO TOTAL �� Shorelines: Plumbing: Setback: Mechanical : Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE WOODSTOVE Permit No. 0034 No. Floors Sq Ftg Owner MAW, Eugene W Tel 275-4414 Date 9-27-88 Address P 0 Box 865 Allyn Zip Contractor Self Address Zip Legal Description Lakeland Village Div 6, Lot 4 Direction to project site 371 Country Club Dr. 1 Plumbing Mechanical Sewer Wood Stove X_ Fireplace Deck Garage Carport Basement Loft Other d i