HomeMy WebLinkAboutBLD15073 Wood Stove Sleeping Porch Roof - BLD Permit / Conditions - 1/10/1984 1
FOX, Wayne F. #15073
1-10-84
Ayock Beach Lot 24 Block 1
Star Rt. 1 Box 31
Lilliwaup, Wash 98555 Contractor
Self
Wood Stove
Sleeping Porch 'kO4
$1001.00 877-9651
i J
- -
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:—
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior :
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
PERMIT
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DAY 1= -=- -- -
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 l
DATE ISSUED �—
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
LC/ - - "ov S Li L� I'WAU 42 OVA . 3 3'S o'7
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DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. e 2 '/
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR S `
USE OF D/e
BUILDING S _
Class of work: n NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
L000 STOUP �-rr� r� A �00
Valuation of work: $ /OU / PLAN CHECK FEE PERMIT FEE 147 ,00
SPECIAL CONDITIONS:
BEDROOMS_ I DECKS CARPORT E; NOTICE
BATHROOMS__._ TOTAL SO. FT. GARAGE [
ATTACHED I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE Ll DETACHED C
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 FOR A PERIOD OF 180 DAYS AT ANY TIME 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 LI SHORELINES
SEASONAL [! FLOODPLAIN
Firm
E.D. NO. S.E.P.A. I'
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 in conformance therewith. MOTOR VEHICLE PERMIT
� APPLICATION ACCEPTED BY PLANS HECK BY APPROVED F ISSUANCE
Owner�^Ll W '� Datel � � {pQ�� v � ;ell
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH