HomeMy WebLinkAboutBLD0106 Final Woodstove - BLD Permit / Conditions - 1/17/1984 GOLD, Fred #0106
1-10-84
Tract 11 Gov Lot 3 30-23-1 ,,11
P.0.Box 263 32 - eo n o
Belfair, Wash. 98528 Contractor
Self
Take North Shore Rd. to Mission Creek Rd. Follow Mis-
sion Creek Rd. 1.7 miles to Chinook Dr. Turn right onto
Chinook Dr. Go up hill . House on corner.
Woodstove 275-6133
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
'Y
Wood Stove:
Plumbing: :+
Mechanical: 1
Roof:
Exterior:
Interior:
Final:O/<'/
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
BUILDINGWRMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED.—
PERMIT NO. CSC
OWNER NAME MAIL ADDRESS CITY&STATE y - ZIP PHONE
im '77
DIRECTIONS fi.,
TO JOB SITEter.-�fys/.t~S Coe �.fsJl1C t�
LEGAL /�� (❑ SEE ATTACHED SHEET) `
DESCR. 7-ra C 7— // C�7DCl. ZOj" 3 \96 •- ;:2,3 — % 6�
CONTRACTOR
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
pr
�'
SiG'- r-
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
INVCc VIE'
---------.._._.__..•-___...�
Valuation of work: $ PLAN CHECK FEE PERMIT FEE d
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 El ATTACHED 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
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
i
Lic. Ncr� Date ZONING
PLANNING DEPT.
V 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 confo manc there 'th. MOTOR VEHICLE PERMIT
' APPLICATION ACCEPTED BY PLANS CK BY APPROVED FOf)SSUANCE
Owner Date��� ,- BY e (/Y//
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH