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HomeMy WebLinkAboutBLD24223 Woodstove - BLD Permit / Conditions - 8/7/1989 a- `l c:�) 1 -7 �-[ 1 C�C)G l U Shorelines: Pl�nbi Setb ack:: Mechan� Special a Interio r: Conditions: FINAL: Mobile name: Smoke Detector: Foot i Remarks: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: ------------- TYPE WOODSTOVE Permit No. 24223 No. Floors Owner S IMPS 0 N g , Sq Ftg Address W 6261 Shel ton Matl oeck4Rd-2485Date g-7-89 Contractor None 2 ltonZip Address Legal Description NE SE 17-20-4 ip Direction to project site One mil e bef r Out Railroad tn ah., ,o .,a ress- un ing c anus Newer tove xx Fireplace Deck garage port BasementLoft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED L' PERMIT NO. � NAME ^ MAILADDRESS CITY&STATE ZIP PHONE OWNER +�. IMI 'C ,(o k 9 fa n- /►�I ee- cSkl A I In.JI-: 9 DIRECTIONS TO JOB SITE q tB C C _ o D/` PARCE�L LEGAL NUMBERX 11201 1 000/0 DESCR. c I-7 (A , NAME MAIL ADDRESS / ��&� TE ENSE NO. ZtP PHONE CONTRACTOR Ly j -1 Wet- m ©� USE OF BUILDING CLASS OF it WORK , NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.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 SQ.FT. FIREPLACE DETACHED _ ABANDONED FOR A PERIOD OF180 DAYS AT ANY TIME AFTER WORK ISCOMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRAT O N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREM 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 N CONE RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI APPROVAL FROM THE ILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. I /l O NER ATE ^17 X BY _ __ DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION HEALTH 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 PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION `•� ii TOTAL IBY CASH CK MO