HomeMy WebLinkAboutBLD16375 Woodstove - BLD Permit / Conditions - 12/7/1984 1
THOMPSON, Robert B. #16375
12-7-84
Ayock Beach, Block 1, Lot 12
101 North to Ayock Beach, house on extreme point, flat
roof.
1319 Lakeshore Drive
Centralia 98531 Contractor
Hutch & Son Woodworks
Woodstove
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace: `
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: e k- /M 111 1rz1
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
1
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 DATE ISSUED' —
PERMIT N0. 162 75-
AME l r MAIL ADDRESS 11 / CITY 8 STAT \ P / PHONE
OWNER O !H0X4(J S0N 1319 L4lces Qv-� yr l.°LK4(X1,Ol.
DIRECTIONS OUS p '(y/
TO JOB SITE (� tr 0� a f'a-L�(
LEGAL / I (❑ E A ACHED SHEET)
DESCR. k0 (Z O ,_ C f r4 oc fc 3 ea G k s u -D �v/
NA E MAIL ADDRESS CITY 8 STATE ICEN E LU
ry.QK G Q 6�PH
CONTRACTOR � r b Q b �O l�
USE OF
BUILDING > �j tI vtz e
Class of work: NEW ❑ ADDITION p ALTERATION ❑ REPAIR ❑ MOVE REMOVE
Describe work: ^ r .-�
J-N 5 L a
a
Valuation of work: $ PLAN CHECK FEE PERMIT FEE �I
SPECIAL CONDITIONS:
BEDROOMS I DECKS — CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE f i
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ATTACHED C
NO. OF STORIES BASEMENT C� OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE G DETACHED f',
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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the
4No
ance requirements regulating the work for which FOR OFFICE USE ONLY
Ipermit is issued and all work done will be in
rman a therewith. PERMANENT SHORELINES '
OQ��D r SEASONAL t I FLOODPLAIN 1 1
Fir ^F
E.D. NO. S.E.P.A. f
y Special Approvals IN OUT YES APPROVED NO
Lu G �� Date 2 -Z 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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATI ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner __ Date. ;, /
0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH