HomeMy WebLinkAboutBLD16206 Final Woodstove - BLD Permit / Conditions - 10/16/1984 WHITMAN, Dann #16206
10-2-84
Tract 35 E-1/2, NE-1/4 & W-1/2, NW-1/4
20-21-23-1
NE 261 Riverside Place
Belfair, Wash 98528 275-6398
Contractor
Dale Cunningham
Woodstov e
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
IntWzior:
Final:
Stop Work:
Mobkle Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ��
DATE ISSUED ze-- C
send to owner /6 aD
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Dann and "ianna Whitman NE 261 Riverside Pl Belfa r WA
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 20-21-23-1 Tr 35 of Ej of NEJ and Wj of NWi
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Dale `,�unningjaam P.O. box 1015 Belfair CHEAPH*19905 275-2826
USE OF
BUILDING residence
Class of work: ❑ NEW ❑ AD ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
woodstove installation
Valuation of work: $ PLAN CHECK FEE PERMIT FEE '1
SPECIAL CONDITIONS: U
BEDROOMS DECKS CARPORT C1 NOTICE
BATHROOMS TOTAL SO. FT. GARAGE L
ATTACHED f J SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT Li OR AIR CONDITIONING.
TOTAL SQ. FT. -FIREPLACE a DETACHED L
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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I c tify that I am a currently registered contractor in WORK IS COMMENCED.
t State of Washington and I am aware of the
j rdinaa6e re�Iiusi3►e++ts >e the work for which FOR OFFICE USE ONLY
the, it is issued and all work will be in
Conformance therewith. PERMANENT SHORELINES I
Cheap He t SEASONAL i i FLOODPLAIN 1 1
irm E.D. NO. S.E.P.A. i
B Ir Special Approvals IN OUT YES APPROVED NO
Lic. HEAPH*1990 Date 10.1/84 ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS APr[UAV1T
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
A PLO)CAT19K CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH