HomeMy WebLinkAboutBLD16044 Woodstove - BLD Permit / Conditions - 8/27/2024 TAYLOR, Don #16044
8-27-84
Tract 7, SW, SE, 20-23-1
NE 605 Old Belfair Hwy
Belfair, Wash 98528
Contractor
Dale Cunningham
Woodstove
boo -�o
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:Zzw '�, ,r -�
Stop Work:
Mobile Home:
Smoke Detector:
Remarks: �7?f c-,Z P y
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
Send to owner J
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
lion Taylor NE 605 Old Belfair Highway Belfair 98528 275-6669
DIRECTIONS
TO JOB SITE
LEGAL. (❑ SEE ATTACHED SHEET)
DESCR20-23-1 Tract 7, 34 of SB
NAME MAIL ADDRESS CITY S STATE LICENSE NO. PHONE
CONTRACTOR Dale Cunningham r. C. `ox 1015 Belf air 98528 C ArH-,19905 275-2826
USE OF
BUILDING residence U)nn(-41'��
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE / 0
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT C NOTICE
BATHROOMS ITOTAL SQ. FT. GARAGE
ATTACHED I_; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L- OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE L i 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 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 r lating the work for which
the ued and all k done will be in
formance therewith. PERMANENT ❑ SHORELINES
SEASONAL Il FLOODPLAIN 1
F. Cr ai ii t
E.D. NO. S.E.P.A.
y Special Approvals IN OUT YES APPROVED NO
L . No. Ct'Et 'H'�-1990 ate 8/23/84 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
LICATI N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner _. Date , BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH