HomeMy WebLinkAboutBLD11504 Woodstove - BLD Permit / Conditions - 9/30/1981 Mari_n, Plvin W. #11504
9/30/81
20-43-1 Tract 13, of North 1/2 of NW 1/4 of NE 1/4
6th Driveway past Union River Bridge on Ct.
1st Bridge out of Belfair, St. Rt. 3, Box 376.
Wood Stove & Flue Contractor:
Self
$---- Wood Stove Permit
I2� V ( ( �0
5norennes:
Setback:
Special Conditions:
Fopting:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:m/
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
•` 426-5593 — 26 -1
DATE ISSUED �/j� y
PERMIT NO. /—
OWNER NAME ss CITY&S E ZIP PHONE
MyL ADD�jE
DIRECTIONS
TO JOB SITE — U Q,J
LEGAL /� (❑ SEE ATTA HED SHEET)
DESCR. a0� � l/!. /3 O NIA NW YV NEE4
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
ers ahoue—
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
s C GJoo o s -jut� 9f- lu
GV �D'r� �iirrt�
Valuation of work: $ PLAN CHECK FEE PERMIT FED /
1� S UD
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT Ll NOTICE
BATHROOMS TOTAL SQ. FT._ GARAGE i
ATTACHED i' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT I OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED I
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 L] SHORELINES L
SEASONAL O FLOODPLAIN Li
Firm
E.D. NO. S.E.P.A. C]
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.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in gonformance therewith. MOTOR VEHICLE PERMIT
Aj9LICATION ACCEPTED BY PLANS CHECK BY APPROV� OR ISSUANCE
Ow ne Date. 3U r/
. 1/
PL CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK. M.O. 'CAS