HomeMy WebLinkAboutBLD0100 Final Woodstove - BLD Permit / Conditions - 5/2/1989 Shorelines: Plumbing:
Setback:
Special Mechanics :
Conditions: Interior:
FINAL:e,��
Mobile ome,
Smoke Detector:
noting: Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 0100 No. Floors
Owner ROMUNSETH, 7E Sq Ftg
Address P ox Te1226_g50__Date4-18-8
Contractor sap r elfair Zip—'—
Address 45 a ve. o. Bremerton Legal Description ear s ove Zip
Direction to project site Div 4, Lot 27
eg Leun g Ct
irk Mec anica Sewer Wo Stove. XFireplace Deck Sara e
Basement Loft g 7rport
Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. 0Z 2) Z5
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER — Mt clN S- 6'71A, PO-56 X, 2 E 8C— c60 4DIRECT ..
ONS
TO JOB SITE_ C_ / !s�y' G L & C/fiR DPARCEL
LEGAL
S C'Ot1
NUMBER /� ESCR. D I K' ( -
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR A I/ S-A f Z"^-( l3 � �/�Z� /V'f -/q U. 5C) r3 t=rs/l
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE _
WORK C
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FI REPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT,
X OWNE � �! X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY Pll-ANSCHEqpY APPROV OR I UANCE PERMIT VALIDATION
}� TOTAL C�
C BY CASH CK MO