HomeMy WebLinkAboutBLD0004 Woodstove - BLD Permit / Conditions - 8/3/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
a J f 3 I PERMIT NO. O 0 0
OWNER AIL�DDR CITYdBTATE ZIP PHONE
CTIONS
TO B SITE tom`
U /
i
LEGAL
DESCR.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS y TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORI ES -BASEMENT y ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 100 DAYS, OR IF CONSTRUCTION OR WORK 18 SUSPENDED OR
TOTALSO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYMME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER: FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ON LAW RCW 1827,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REOLMREMENTS REGULATING THE
REQUI 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 8HALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM TH BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
i
X ATE X BY DATE
I
i
FOR OFFICE USE ONLY
DEPARTMENT yES APPROVED Q ES DEPARTMENT y APPROVE NO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
j PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls: PRMIT
Framing: NULL '16L% V010 13Y EXPIRATION
Fireplace:
Wood Stove: DATE BY
TYPE WOODSTOVE
Permit No. 0004 No. Floors Sq Ftg
Owner BARACH, Roland Tel 323=6459 Date 8-3 88
Address 1525 18th E Seattle up
Contractor None
Address zip
Legal Description McLains Cove Lot 9
Direction to project site E 2250 Grapeview Lp Rd
yellow house
Plumbing Mechanical Sewer Wood Stove g
Fireplace Deck Garage .. Carport
Basement Loft Other