HomeMy WebLinkAboutBLD0235 Final Woodstove - BLD Permit / Conditions - 11/9/1984 GASS, Robert W. Y #0235
11-6-84
20-23-1
NE 60 New Kirk _Road
Belfair 98528 275-3075
Contractor
Self
Woodstove
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: 0 k- // 9 .V-,` 07
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ,, /�
DATE ISSUED //L L _
PERMIT NO. CP�,? 35
NAME MAIL ADDRESS CITY STATE ZIP PHONE
OWNER w.
SS NH, �o ck �(c .� �4 w s `1 Z� i 7
DIRECTIONS y— _
TO JOB SITE �L 0 � �ti;.V Sk e T � 1 L,J �-
LEGAL (❑SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR 5 1--
USE OF
BUILDING
Class of work: ❑ N ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe rk:
O o U 'Q—
Valuation of work: $ PLAN CHECK FEE PERMIT FETE
�5
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE L]
NO. OF STORIES BASEMENT C7
ATTACHED L SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE [IDETACHED ❑
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 ermit is issued and all work done will be in
C fOrmance therewith. PERMANENT SHORELINES
SEASONAL '; FLOODPLAIN
Firm
E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. o. 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
/Owner Date.
APPLICATION ACCEPTED BY PLAN ECK BY APPROVED F R ISSUANCE
���� ��
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH