HomeMy WebLinkAboutBLD0349 Woodstove - BLD Permit / Conditions - 9/24/1985 TYPE woo-)STo E
Permit No. 0349 No. Floors Sq Ftg
)wner
BRAINARD, Miles Tel 275�34Z0 Date 9- 4-
aj
Address NE 2121 Old Belfair Belfair Zip
Contractor Self Zip
Address
Legal Description Tor NE-1/4 SE-1 4 Tr.10
Direction to project site
Mechanical Sewer Wood Stove X
Plumbing Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: 4 .
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final:� 5 s
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 DATE ISSUED
_4zA& D PERMIT NO. L/
OWNER NAME MAIL ADDRESS CITY 6 STATE ZIP PHONE
DIRECTIONS
TO JOB SITE >/
LEGAL P L,f.- Gd d�-rfY� ti�a �1 L ��(,c�l�tXlr y F ,d (❑ SEE ATTACHED SHEET)
DESCR. mac. ,� �� 777,e_
r ,�•N r GC%Al
CONTRACTOR NAME MAIL ADDRESS CITY d STATE LICENSE NO. PHONE
USE OF
BUILDING %�L,_,, 04f 04e;4
Class of work: ❑ NEW A ITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 00
0
SPECIAL CONDITIONS:
BEDROOMS DECKS 'CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES- BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. 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
jha
hat I am a currently registered contractor in WORK IS COMMENCED.
e of Washington and I am aware of the FOR OFFICE USE ONLY
e requirements regulating the work for which
it is issued and all work done will be in
nce therewith. PERMANENT i ! SHORELINES i
SEASONAL ❑ FLOODPLAIN 1.1
Fir E.D. NO. S.E.P.A. U
By Special Approvals IN OUT YES APPROVED NO
Lic 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 3
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
OWnef�(� Date. ��- 7'' 5 APPLICATION ACCEPTED BY PLANS CK BY APPROVE R ISSUANCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING