HomeMy WebLinkAboutBLD0238 Woodstove - BLD Permit / Conditions - 11/27/1984 FULLINGTON, Anne M. ' #0238
11-27-84
Tract 11-A of SW-1/4, SE-1/4 9-23-1
P. 0. Box 1053
Belfair 98528 275-5779
NE 3150 Old Belfair Hwy
Contractor
Heritage Fireplace
Shop
Woodstove
S--
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove: '
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:h��eP�'F�, _��
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 u
DATE ISSUED �l _ ';27 r� /
PERMIT NO. -
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
n Box lJ G 97� -5 7
DIRECTIONS r
TO JOB SITE N` ' � (old, Iw
LEGAL i
ll ,Q ` /+� �+ (❑ SEE ATTACHED SHEET)
DESCR. '�C� 1I-/9- b-F --t. sW C u4n4,og SI- Qwel?, P ffc, 9 /oL.J/?jA' d3 ®k7"We-0y/
CONTRACTOR NAME / MAIL ADDRESS CITY 8 STATE LICENSE NO. Try',y J�+HP�p�fs-
�1Qrr�-Ci �s+ r
USE OF
BUILDING orne
Class of work: ❑ NEW ❑ ADDITION PAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEES a
5
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [_j NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE C]
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE G 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I ertify that I am a currently registered contractor in WORK IS COMMENCED.
t e State of Washington and I the
aware of the FOR OFFICE USE ONLY
dinance requirements regulating the work for which
e permit is issued and all work done will be in
onformance therewith. PERMANENT [] SHORELINES i
SEASONAL 1 1 FLOODPLAIN i 1
Firm
E.D. NO. S.E.P.A. L1
By j 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
h this permit is"' Sued and that all work done will ROAD ACCESS
e i cortf nc th rewith. MOTOR VEHICLE PERMIT
_ APPLICATION ACCEPTED BY PLANS CffCK BY APPROVED FO SUANCE
Owner Date. �� BY�Q/�(/
Qj U
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH