HomeMy WebLinkAboutBLD11946 Final Wood Stove - BLD Permit / Conditions - 1/28/1982 Fowler, Barth #13946
(275-5849) 1/21/82
Tract 3, SW, SE, NW, 21-23-1
Top Newkirk Dirt Road, Wood House on Left (Brown) ,
St. Rt. 3, Box 201, Belfair.
Wood Stove Contractor:
None listed
Wood Stove Permit
)Z,32I Z� R�
Shorelines:
Setback: -
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove: -4 -
Plumbing:
Mechanical:
Roof:
Exterior: 49
Interior:
Final:
Stop Work:
Mobile Home ~
Remarks:
4r_rUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNERIRA 4 FbA 1. (ZI• 13 bg 01D1 l 112_ Lop, QS ;)-i
DIRECTIONS }}�� .1 ,1
TO JOB SITE lop �iji)feIeK b RT ��. A)AM I. OU615 DN g,+�Lv�1
LEGAL f �s (❑ SEE ATTACHED SHEET)
DESCR. � !o" — . —o�. —�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE [] REMOVE
Describe work:
WSTAL)_ Wooi) STNE A-Ni) PiPC 740 WOOD S76✓4 /.S
Valuation of work: $ PLAN CHECK FEE PERMIT FEE/5Gb
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT L i NOTICE
BATHROOMS TOTAL SO. FT. GARAGE [i
ATTACHED L7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [_i OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE tj DETACHED L7
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 [] SHORELINES
SEASONAL ❑ FLOODPLAIN LL
Firm
E.D. NO. S.E.P.A. L7
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 conformance therewith. MOTOR VEHICLE PERMIT
C � l_ 1If ,qga APPLICATION ACCEeTED BY PLANS CHECK BY APPR ISSUANCE
Owner �l Date�t
` CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH