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HomeMy WebLinkAboutBLD9950 Woodstove - BLD Permit / Conditions - 8/26/1982 Theis, Janees F. Jr. #0950 - 2751-5531 8%26/82 20-23-1, Tract 12 of N 1/2 of NW of NE, EX. R/W. NE 1580 Old Belfair Highway, Belfair Wood Stove Contractor: Self $-- Wood Stove Permit Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Y Plumbing: Mechanical: __ Roof: Exterior: y' Interior: Final: eA-'lO ,'2/ �_ Z Stop Work: Mobile Home: Smoke Detector: Remarks: • BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 �— DATEISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE llteml i- c/.S 4 Alk S ()Ab&tfy j..0- EGFP+Ile DIRECTIONS TO JOB SITE LEGAL ` y� (El SEEATTACHED SHEET) D E /�t D a — / �o� / �o� f r NAME MAIL ADDRESS U CIr 8 STATE WLIC NSE Nb. PHONE CONTRACTOR 5£� USE OF BUILDING Class of work: f�NEW ❑ ADDITION D ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: / A/ © 1/,:— Valuation of work: $ PLAN CHECK FEE PERMIT FEES SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS I TOTAL SQ. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ 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 requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT CI SHORELINES IJ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. Ll 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 BUILDING DEPT. �� 2 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 ,t l! P ICATION ACC TED BY PLAN C � ECK BY APPROVED FOR ISSUANCE Owner I � Date. D " Z'(�' 'c�,�L � �j4` BY &/ PL CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK. M.O. CASH