HomeMy WebLinkAboutBLD14801 Woodstove - BLD Permit / Conditions - 10/14/1983 ALLEN, Jay #14801
10-14-83
20-23-1, S 15 acres of SW4,SE4
NE 591 Old Belfair Highway, Belfair
Contractor
Cheap Heat 275-3066
Woodstove
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior:
Final: G,(
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
` MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 1 v
PERMIT NO. 1 `L�.?—)C) 1
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Jay Allen NE 591 Old Belfair hw belf air vA 98528 275-3066
DIRECTIONS
TO JOB SITE Old Belfair
LEGAL (0 SEE ATTACHED SHEET)
DESCR. S 15 acres of SW 4 of SE 4 of Section 20, Twnp 23 nange 1 , dV
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Bale Cunningham kl.Oj. box 1015 Belfair VqA ChhArH*l9905 275-2826
USE OF
BUILDING Residenoswoodstove install tion
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: woodstove installation
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED C SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE IJ DETACHED G
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
PERMANENT SHORELINES I J
conformance therewith.
SEASONAL . ! FLOODPLAIN I
Firm Cheap heat
E.D. NO. S.E.P.A. L;
By Special Approvals IN OUT YES APPROVED NO
Lic. No. C.EhAPH*199 5 Date 10/12/83 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
/wner
am exempt from the requirements of the FIRE MARSHAL
gistration law RCW 18.27, and am aware BUILDING DEPT.
n County ordinance requirements for
rmit is issued and that all work done will ROAD ACCESS
ance therewith. MOTOR VEHICLE PERMIT
A PLICA-TIO ACC T BY PLANS CHECK BY APPROVED FOR ISSUANCE
Date_ BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH