HomeMy WebLinkAboutBLD18055 Woodstove - BLD Permit / Conditions - 10/17/1985 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. f�Jli`� JT
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Kevin Lea NE 67 Jolly Roger Lane Belfair, Wash. 98528
DIRECTIONS
TO JOB SITE $ 0 yl,
LEGAL (❑SEE ATTACHED EET)
DESCR. Beard's Cove Div. 7, Lot 29
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
�
USE OF
BUILDING Woodstove
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 1
Describe work:
TO S r/WylG CzF Ll/l/
S1701Y-7-,60 7d 4,r4
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
---- 15.00
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the Stag of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinan requirements regulating the work for which
the pe it is issued and all work done will be in
con or ance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and t all work done will ROAD ACCESS
be in confo mance theMth MOTOR VEHICLE PERMIT
A AT N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date/
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
TYPE WOOBSTOVE
Permit No. 18055 No. Floors
Owner LEA, in Sq Ftg
Address NE 7 Joll Ro er Lane el Date 10-14-85
Y g Belfair Zip
Contractor Self
Address
Legal Description beard's Cove Div. 7 Lot 29p
Direction to project site 2nd house on left on Jolly
Roger
Plumbing Mechanical Sewer
Wood Stove g
Fireplace Deck
Garage Carport
Basement Loft Other
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