HomeMy WebLinkAboutBLD0292 Woodstove - BLD Permit / Conditions - 9/11/1990 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: e .9 L_
Mobile Home:
Smoke Detector:
Remarks:
noting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. No. Floors Sq Ftg
Owner LE IS, Te1��390 Dated=�7
Address Be ai r wy Be—fair Zip
Contractor
Address Zip
Legal Description Tr 4 of NE SE 17- 33-1
Direction to project site 22 mi out Old Belfair Hwy on
ight from Belfair
Plumbing Mechanical Sewer Wood Stove _
Fireplace Deck Garage Carport
Basement soft Other
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. 40
NAME MAIL ADDRESS CITY SSTATE ZIP PHONE
OWNER
CH/z/S 1, :4015 4c9j;(n) OCO �3�c Fit /tu.�/ /3&FA1e 40 9�� 47,s:: .
DIRECTIONS
TO JOB SITE pia ir}/ 0l�7- l�La E���r y c�'t11406
LEGAL
DESCR. 7 � 7
CONTRACTOR NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATHTUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTAL /S;0o
SPE AL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED 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 WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROV L FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE r1 'l/ - 5� XBY _ DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS Y BUILDING GROUP APPROVEDQFOJIISSUANCE PERMIT VALIDATION
BY CASH CK MO
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e Road Name: �l/L �Q ✓ /T�
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y ti S Shelton, WA 98584
At4- f4 PERMIT
Subject to all terms, conditions and provisions written or printed below or on
any part of this form, I
n
PERMISSION IS HEREBY GRANTED TO: I IQ*af,
Address:_ 1JE O�d '(�)CtV0J( �kWLi Phone: a
To install a n �� �� 1� �� C cj
r
Location: o�� (� rl'► � , � Isle. r `'1 _
Legal Description: T, Ly S.0
REMARKS: 511 J(,CE y9G&G s /S 04) '6-AmG
ti�Cl► �p�S S C�� �C�n
Culvert Specifications: Culvert to be metal, concrete or polyethylene.
Culvert to be minimum of 12" diameter by 20' length.
Culvert will lay in line of ditch.
Access to be graveled to property fine with 3" of clean gravel.
A Bond in the amount of $ e� accompanies this permit.
(Rct. # MouN+v r of Cheek # . )
\ ��//
Contractor: fyt UnVrjon �(`2W Address: l YA
Phone: a'1��- (3� License No: CO."r y-r 001-33 Expires:
* Access will be staked and flagged by Permittee for pre-inspection.
* Access will be pre-inspected by this office prior to installation.
* Access installation shall be in accordance with county specifications.
* Commercial/multi use access shall require STOP sign, installed in
conformance to the MUTCD manual, at intersection with county road.
No work shall be done under this permit until the party or parties to whom it
is granted shall have communicated with, and received instructions from the
Road Supervisor , Phone: 427-9670 extension 450.
This permit shall be void unless the work herein contemplated shall have been
completed on or before 19
DATED at Shelton, Washington, this day of 19
Issued by:
Title: