HomeMy WebLinkAboutBLD22649 Woodstove - BLD Permit / Conditions - 8/31/1988 3 a GU
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: e�/< p-
Mobile Home: Ir
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 22649 No. Floors Sq Ftg
Owner SIMPSON, Roy L Tel 898-3057 Date 8-31-88
Address E 131 Seattle Union Zip
Contractor None
Address Zip
Legal Description union Hood anal r&I Co B1 -51OLots 45-47
Direction to project site 5th & Seattle Union
Plumbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUE /' /
PERMIT NO. t LY
OWNER N E MAILADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE ,j , 14- teX) ;'O,L j
PARCEL LEGAL
NUMBER � -9 DESCR. CfK1 � Dfv rlCoct9 ��i't �✓ L Ll�1it 1 oy C°U
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP I PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK //1/ j /} GUD '� L lq /E /}c✓OGQ i /Diu
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNE9S 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
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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
IN CONFORMANCE 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,
X WNER ` TE I - rl X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVEDJO DEPARTMENT YES DEPARTMENT 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
BY CASH CK MO TOTAL �. ��