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HomeMy WebLinkAboutBLD18065 Woodstove - BLD Permit / Conditions - 10/17/1985 TYPE WOODSTOVE Permit No. 18065 No. Floors Sq Ftg Owner SCHATZ, Glenn Tel 275-2636 Date 10-17-85 Address NE 12980 North Shore Rd. Belfair Zip Contractor Cheap Heat' Address P. 0. Box 1015 Belfair Zip Legal Description Madrona Morningside Lots 52.53 & 54 Direction to project site NE 12980 North Shore Rd. Plumbing Mechanical Sewer Wood Stove x Fireplace Deck Garage Carport Basement Loft Other Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Interior: Final: Mobile Home: Smoke Detector: Remarks: BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 � DATE ISSUED�_�� — J 1 `�h�fCha.T� PERMIT NO. OWNER NAME MAIL ADDRESS CITI&STATE ZIP PHONE DIRECTIONS / TO JOB B SITE LEGAL (❑ SEE ATTACHED SHEET) DESCR. NA E MAIL AD S CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING oQ n6sy no U Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: , Valuation of w rk: $ PLAN CHECK FEE PERMIT FEE/15 Q SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT CJ NOTICE BATHROOMS I TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL S.Q. FT. FIREPLACE ❑ DETACHED ❑ 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 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 Ll Firm E.D. NO. S.E.P.A. LJ B Special Approvals IN OUT YES APPROVED NO Lic. No. Date /Q 6+�'� 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 — APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED OVE FOR ISSUANCE Owner Date. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA H