HomeMy WebLinkAboutBLD13067 Woodstove - BLD Permit / Conditions - 9/27/1982 B onham, Jean #13067
8981-3354 9/27/82
34-22-3, Tract 2 of Govt. Lot #3 & TL
E 8100 Highway 106, Union
Wood Stove Contractor:
Insert None Listed
$-- Wood Stove Permit
Shorelines:—___
Setback:
Special Conditions:
Footings !�
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED !/�'-2 /ry
—cF�R
PERMIT NO. ,l_ 46 6 7
OWNER - MAIL ADDRESS CITY 8 STATE ZIP PHONE
pp NAME t�
DIRECTIONS � 6 6
TO JOB SITE
LEGAL Iti f (❑ SEE ATTACHED SHEET)
DESCR. ctt j f� -- '/'x
CONTRALTO
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO PHONE
L —
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
XDescribe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 1-67
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT [_ NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE
ATTACHED E' SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT E OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE G DETACHED C
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACR AFFIDAAVJ IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
/1 3 - y ��FF Q SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that 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 i - SHORELINES i_I
SEASONAL Il FLOODPLAIN i_,
Firm
E.D. NO. S.E.P.A. Cl
By Special Approvals IN OUT YES APPROVED NO
Lic. No.—_ Date 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be i conformance therewith. MOTOR VEHICLE PERMIT
caner Date
(CATION AC EPTE BY PLANS CHECK BY Y P OVED FOR I SUANCE
�
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
r MAIM RVEGIONI AL PLANNING COUNCIL rl?
r _ P.O. Box iEv
Sf4clton,Wcs�4nalon M34
Panne 426-55•43
MESSAGE DATE 3 h-2- REPLY DATE
TO
14ml4d),O Z-)4,4, j �/ _A7
—461
r
i
SIGNED SIGNED
REDIFORM® 4S 473 SEND PARTS I AND 3 WITH CARBON INTACT-
PART 3 WILL BE RETURNED WITH REPLY. PO«Y PAR(So SETS)4P 473
DETACH AND FILE FOR FOLLOW-UP J