HomeMy WebLinkAboutBLD0437 Woodstove - BLD Permit / Conditions - 10/22/1991 A3� -0 - 0-7a
Shorelines: Plumbing:
Setback: Mechanics
Special Interior:
Conditions: FINAL:
Mobile
Smoke -Detector:
Footing: Remarks:/ed o c v�d
Setback: K�y iN 4.rc&V
Fot�dation a-1��y-9/ ssJi6►t
Walls:
Framing:
Fireplace: Cck yv O.•iE&Lo,*e/p=?,e
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TYPE WOODSTOVE
Permit No. 0437 No. Floors Sq Ftg
NO MAN, Ce'1 MINE Tel 275-6278 Date 10-22-91
Address NE 22590 Hwy 3. Belfair Zip
Contractor ----.
Address 1p
Legal Description 32-2 -1 qP 1287 .rt. g
Direction to project site 1/4 m; a
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED/"-' ��-
PERMIT NO.Q y3
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
CA77116eljue t, m .F- - LJJ4 98508 75 S. ,7Y
DIRECTIONS
TO JOB SITE U f� �{W P .SoL;
SPOT - Kee f -PARCEL LEGAL j /it: hr� erJ�j t lac hcC';
NUMBER D SCR. -S �92- 5_ N IG,£ � O� FK 2- EX E 2-0' 5 'e eAr&) S -11
3' 2- - -om7
CONTRACTOR
NAME a, MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
ro-.ri?kzs
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE /�'�
WORK !J '" (} . ( d l o e, (s /m n e
A,)D 11jo kv SEE ,re. 5' = pc`�
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING,
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE 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 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
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN ER ' M" DATE �� XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING fQ -�� PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
/�s'� ► G%%i.��lJ SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
A PLIC9TIO CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
tr.vA TOTAL
BY CASH CKKj MO