HomeMy WebLinkAboutBLD90-26198 W.STOVE - BLD Permit / Conditions - 7/17/1990 Shorelines: Plumbing:
Setback: Mechanics --.
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
noting:
Setback:
Foundation
Walls:
Fr aping:
Fireplace:
Wood Stove:
TYP-,, N��i rL��TntiF
Permit No. 261 qR No. Floors _1 Sq Ftg 14 00
Owner THFF�TT, f1TCHFEi Tel g?..L_1�'TQ Date �_��_�n
Address F d ChP rr\, Ct Shpltnn Zip g
Contractor Eirpplarp
Address Zip
Legal Description J? 20 ZL K1666' of NW'- NFL
Direction to project site 9n to ChPrry Par nnc:P in ao
Left on Cherry Ct then to 4 th Iiot.ise on l eft _
um ing Mechanical Mech7anical Sewer Wood Stove XX
Fireplace Deck arage arport
Basement Loft Other
1
i
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED /
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER
DIRECTIONS _
TO JOB SITE II � , j�) �, G e' P.V �1 4'T c-tA �l��Yi' % 4
-rti � /A cs use, erA
PARCEL LEGAL
NUMBER ! i ®[?C+C1 DESCR. J�1C'C-% rJ A;5�1+ 1 _ , G10 `C►f 4i' `- ,(,+i£, i
NAME MAIL ADDRESS CITY&STATE LICE E NO. ZIP PHONE
CONTRACTOR �° +e r� c ��� ( VC' A ti r + + �T C S" H -?& 70
USE OF
BUILDING g;
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE _ r
WORK -)CIO. . + •� �` s
BEDROOMS 3 — DECKS YOR N CARPORT NOTICE
TOTAL SQ.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. TOTAL SQ.FT. CONDITIONING.
NO.OF STORIES —t__ BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. J 14 00 TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED -
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
II�CETfFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
TRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REMENTS 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
INFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
BTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
t al
XOWNER--/ _Av 7-/7-QC) XBY __- DATE_
FOR OFFICE USE ONLY
DEPARTMENT_ YES PPROVENo DEPARTMENT YES No
BUILDING VALUATION
HEALTH f- PUBLIC WORKS FEE
PLANNING _ FIRE BUILDING PERMIT
D.O.T. BUILDING .F PLAN CHECK
SPECIAL CONDITIOV'S BUILDING GROUP " PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY, PLANS CHECK BY PROVED R ISSUANCE PERMIT VALIDATION
TOTAL /
��� �1 BY';, a� CASH CK MO +