HomeMy WebLinkAboutBLD0236 WoodStove - BLD Permit / Conditions - 11/27/1984 ZANDELL, Earl #0236
11-27-84
Tract 4 S-1/2, SE-1/4, NE-1/4 29-23-1
P. 0. Box 67
B elfair 98528 275-3386
NE223 Roy Boad Rd
Belfair Contractor
None listed
Woodstove
$-- 1-275z� Iq GOD �0v
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:
PERMIT
NULL & V017 BY FXPIRA7
1
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED_�1 �
PERMIT NO. 7
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
L ZA L O O F b✓ 9
DIRECTIONS
TO JOB SITE /1 O 80AD 9.P , ,f L
LEGAL Z 9 23 / (❑ SEE ATTACHED SHEET)
DESCR. R 5 y ` F t
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDINGWood
C'
._
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
b 1,,Zti ''/ c'✓'
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 1 C01
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING. VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. 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 FORA PERIOD OF 180 DAYS AT ANYTIME 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
Yor finance requirements regulating the work for which
t e permit is issued and all work done will be in
onformance therewith. PERMANENT , i SHORELINES i
SEASONAL [] FLOODPLAIN
Firm
E.D. NO. S.E.P.A. ❑
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
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
.l j/-
APPLICATION ACCEPTED BY PLANS ECK BY BYPROVED FOR ISSUANCE
Owner Date
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH