HomeMy WebLinkAboutBLD11449 Final Woodstove - BLD Permit / Conditions - 9/24/1981 Caldwell, Michael D. #11449
9/21/81
Tract 18 of NW1/4 of SE1/4 of Sec. 9, 23 North
Range, 1 West W.M.
Three miles from Belfair, on Old Belfair Highway
Right 400 feet this side of mini mart, 3rd house.
Wood Stove
WOOD STOVE PERMIT
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove: -�
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Remarks:
Please make check
payable to Mason allILDING PERMIT APPLICATION
Cou�ty Treasurer. MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 �
426-5593 Q
DATE ISSUED
PERMIT NO. �4
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
S H 9 s=
DIRECTIONS %/EKE ,BIGHT -¢," F T 7wlS
TO JOB SITE D DL KJ S/OE &,-- 'Wlv/ /VAf 3C,0crs`
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. Tew.v / �(/O - ,f' GUesT
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: fd'NEW ❑ ADDITION .?'ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
z,G oa _ .Ieeo�" L *e e
Valuatiowf work: $3�� PLAN CHECK FEE PERMIT FEE 15.00
SPECIAL CONDITIONS:
BEDROOMS 3 DECKS CARPORT L7 NOTICE
BATHROOMS TOTAL SQ. FT.__ GARAGE
ATTACHED C1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FTJ/30 FIREPLACE,NY 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 i-1 SHORELINES 11
SEASONAL [] FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. 17
ly Special Approvals IN OUT YES APPROVED NO
c. No.— Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
1 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
O X:Zn
/ APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner _ ate . BY
L atut
PRN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH