HomeMy WebLinkAboutBLD14955 Woodstove - BLD Permit / Conditions - 11/23/1983 BUITENVELD, Harlan #14955
- 11-23-83
12-20-4, Springwood, Lot 2
On Shelton Springs Road, 1 mile past High School, turn
right into Springwood Development, take 1st right, 2nd ho
house on right
Contractor
Mark Tuson 426-4633
W oods
tove
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Inferior :
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 I (_ 2 3 �?�
DATE ISSUED l �
PERMIT NO. Cl S'S
OWNER A CITY 8 STATE ZIP PHONE
L U o^ 5 NI WA `V p
DIRECTIONS OnI - 47D . .sp21 S ez / 71A
TO JOB SITE S� s _ $� Q
LEGAL ��� „{ ^ (E) SEE ATTACHED SHEET)
DESCR. .0 D T Z / VL/ (J L a —
NAME MAK ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR mM < ��( L16
USE OF /'16 e1NV,/cF
BUILDING L
Class of work: NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT U NOTICE
BATHROOMS I TOTAL SO. FT. GARAGE !i
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED LI OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED [_l
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
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
Conformance therewith. PERMANENT SHORELINES i
SEASONAL ( , FLOODPLAIN
Firm E.D. NO. S.E.P.A. Li
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORKS
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
confo anc rewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owne ate BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH