HomeMy WebLinkAboutBLD9831 Final Wood Stove - BLD Permit / Conditions - 3/8/1982 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED 31V 115.2—
Z � �Z �(0/ PERMIT N0.
OWNER NA E _,,All ADDRESS CITY&STA. i IP PHONE
DIRECTIONS
TO JOB SITE
LEGAL I (❑ SEE ATTA HED SHEET)
DESCR. aWn" N W V
NAME MAIL ADDRESS / Cl 8 STATE LICENSE NO. PHONE
CONTRACTOR L•�5���
Bu DING e r1 ��C��iJ� f7rx` (/10& 1<12Co& !kw,-
Class of work: &NEW ❑ ADDITION ❑ ALTERATION ❑ REPAI ❑ M VE n REMOVE
Describe work: At
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
4,4 / O b
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE "
ATTACHED L SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATI
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE El DETACHED C
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. Z'�Irt p 17'rh-j PERMANENT L_l SHORELINES I i
SEASONAL I I FLOODPLAIN Ll
Firm
E.D. NO. S.E.P.A. 11
By _ Special Approvals IN OUT YES APPROVED NO
Lic. No. Date 3 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 ' conformanc, therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN HECK BY APPROVED FOR ISSUANCE
Owner —Gate . Z BY
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Cunningham, Dale #9831
-- (275-2826j 3/4/82
Pluff Building, NE Corner of NW 1/4, SE 1/4, 29-23-1
Corner of North Shore Road & Old Belfair Highway.
Wood Stove Contractor:
Same
Wood Stove Permit
Shorelines:
Setback:
Special Conditions:
Footinq:
Setback:
Foundation T,,Tal_ls:
Framinq:
Fireplace:
Wood Stove:
Plumhina:
Mechanical:
j Roof:
Exterior:
Interior:
Final:,e 3 S2
Stop tokbork:
Mobile Home
Remarks: