HomeMy WebLinkAboutBLD15324 Woodstove - BLD Permit / Conditions - 3/29/1984 OWEN, Eved #15324
3-29-84
Part of NE-1/4, SE-1/4 6-22-1
E21582 Hwy 3
Belfair, Wash 98528 275-5086
Contractor
Dale Cunningham
Woodstove Cheap Heat
Shorelines: IV4
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
•Final: -�^' c/ // o /�V �
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
*v"4
BUILDING PERMIT APPLICATION
MASON COUNTY
I P.O. Box 186 Shelton, Washington 98584
laaro- '4 I _G Q ' 426-5593 _ �
DATE ISSUED
T PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Eyed Owen h 21582 Hwy 3 belf air 98528 275-5086
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Part of NE quarter of SE �%uarter of Sect 6, Twnp 221v Range 16
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Dale Cunningham P.O. box 1015 pelf air ChE.&J?H f•19905 275-2826
USE of residential
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: woodstove, installation
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 1
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT LJ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE C
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING. VENTILATING
NO. OF STORIES BASEMENT a OR AIR CONDITIONING.
TOTAL SO. 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
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordin nce requirements regulating the work for which
the ermit is issued and all work done will be in
cc ormance therewith. PERMANENT J SHORELINES I J
Cheap t SEASONAL [] FLOODPLAIN
Firm E.D. NO. S.E.P.A. L;
By Special Approvals IN OUT YES APPROVED NO
Lic. No. CHEAPh*1990. Date 3/27-84 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
�CATIACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date. BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH