HomeMy WebLinkAboutBLD15918 Woodstoves - BLD Permit / Conditions - 7/30/1984 GOSSE, D. W. _ #15918
7-30-84
Lot 3, Short Plat 807 Gov Lot 2 26-21-2
10820 lst Drive SE
Everett, Washington 98204 355-1561
Harstine Island Rd. North to Haskell Hill 1Rd. ,
across culvert, driveway on right
Contractor
Self
Woodstoves (2)
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing: -
Fireplace:
Wood Stove: "
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: /P /O / y
Stop Work:
Mobile Home: `
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION-
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO. l
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Q,WI GOSSg /0820 / 2TO0-. 9.E. 6ueZe7-T w,+- f920Y
DIRECTIONS
TO JOB SITE I E//4125T/1JE /5 12D A/, Ta NI45XELL N/LL AQ,, cjL0`i5 �u�v�KT 0i11vEw/ay o�v IL��HT
(❑ SEE ATTACHED SHEET)
LEGAL
DESCR. 0T 3 s//dAT FL- 4T IR67 Ga 0 Ld r Z. ;ZG-- 2-IV-Z w
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR se
USE OF
BUILDING 6-A2,4Gt5 W099 9rIOP
Class of work: I$. NEW ION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
/A1ST/elLL, w0 u>OvD STOVES O Hf15a,vAK ,t 5 /}al.o edNNt5c stSoNIEXY
ci4t00We
Valuation of work: $ PLAN CHECK FEE PERMIT FE '5O
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS f TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED.
certify that I am a currently registered contractor in
the State of Washington and I am aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in SHORELINES _1
conformance therewith. PERMANENT ❑
SEASONAL FLOODPLAIN i7
F E.D. NO. S.E.P.A. El
B 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 that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
t 3D—0 P ICAT N A C PTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
(C.11w�i-wyW BY
Owner Date.
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
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