HomeMy WebLinkAboutBLD24534 Final Woodstove - BLD Permit / Conditions - 10/3/1989 Shorelines: Plumbing:
Setback: Mechanica-1: —
Special Interior:
Conditions: FINAL:
Mobile me:
Smoke Detector:
Remarks:
Setback:
Foundation
Walls:
Fr aping:
Fireplace:
Wood Stove:
TypE WOODSTOVE
Permit No. 24534 No. Floors Sq Ftg
Owner DAHL, Ivan R Tel 426_5 Date 10-3_89
Address 1702 Walker Park Rd Shelton Zip
Contractor None
Address ip
Legal Description Alder Creek Tracts Tr 6
Direction to project site Above address brown house
un ing Mechanical Sewer Wood Stove x
Fireplace Deck arage carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
1 1i V DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED r O 3 Y
lJ' PERMIT NO. C24/T- 1
OWNER x NAME MAILADDRESS CITY&STATE ZIP ONE
leak R. 17 ark M. S o s's'
DIRECTIONS
TO JOB SITE o w u
PARCEL LEGAL d.e-r C rc c �4
N U M B E;?" ?j �. C���. l DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE WORK d'e-r / -�
S/OWC !� GCi or l rx 5-
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 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT.,,, FI REPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FFIDAVIT 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
REGISTR ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
0 AAINI G APPROVAL FROM THE BUILDING DEPARTMENT. q APPROVAL FROM THE BUILDING DEPARTMENT.
1R OWNER TE l0 3 ( 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
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLI ATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO