HomeMy WebLinkAboutBLD20202 Final Woodstove - BLD Permit / Conditions - 5/22/1987 Shorelines: ti q Plumhinu t
Setback: Mechani
Special Interior:
Conditions: FINAL:
Mobile Elcm
Smolae Detector:
Footing: Remarks:
Setback:
bbundation
Walls:
PYaaiing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit ND. 20202 ND. Floors Sq Ftg
Owner ;NEVILLE, John Tpl 426-7674 Date 5-4-87
Address 1929 Railroad Shelton Z' —
ip
Contractor Chea Heat
Address zip
Legal Description D.Shelton DLC�� 37 Tr. 107
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Direction to proct site House at rear of 1901 Ra;lrnad
PLumbing- mecuM—jca.L SewerStove X
Fireplace Deck Garage Carport
Basement Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 �� 7�
426-5593 DATE ISSUED
n PERMIT NOaQC'r
OWNER NAME MAILADDRESS CITY&STAT PHONE
DIRECTIONS L= Ila 0-b cl_&
TO JOB SITEPARCEL LEG
NUMBER 21.:20o;2 S 0/1!�?d D SCR. 10- f"""*'`10L C#3 "T i d7 ,-s,e1VE a sL ao"_ T
CONTRACTOR
E MAIL ADD SS CITY&STATE LICENSE NO. ZIP PHONE
G W
USE
BUILDING CJ
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
A
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
CERTIFY
N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APP VAL FROM THE BU NG DEPARTM T. APPROVAL FROM THE BUILDING DEPARTMENT.
X OW RJ� X BY DATE
FOR OFFICE USE ONLY
D A TMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HE H 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
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL /��