HomeMy WebLinkAboutBLD0398 Final Woodstove - BLD Permit / Conditions - 6/4/1986 TYPE WOODSTOVE
Permit No. 0398No. Floors Sq Ftg
Owner SIGNER, Robert J. Tel 207774 Date 5-20-86
Address p_o_ Box 633, Belfair, Wa 98528 Zip
Contractor Self
Address Zip
Legal Description Beard's Cove Div 5, Lot 39
Direction to project site
Plumbing Me is Seer Wood Stove
Fireplace Deck Tarage Zarport
Basement Loft Other
r -
Shorelines: plumbing:
See�al: Mechanic
Interior:
Conditions: FINAL:fI l y
mobile Home:
Spoke Detector .
Remarks:
Footin
Setbacgk:
Foundation
Walls:
Framing:
Fi repla
Wood Stove:
r ►
BUILDING PERMIT APPLICATION
MASON COUNTY
• P.O. Box 186 Shelton, Washington 98584
426-5593 A,
DATE ISSUED
• PERMIT NO. 6-1 3� v
OWNER
Q NAME _ MAIL ADDRESS _ CITY 8 STATE ZIP_ PHONE
�lC O .� l�1 �� L n� to J?. L`4 _" Lf,�I
DIRECTIONS I
TO JOB SITE 50 AlplL% 0 0 C v1�
LEGAL r •� (❑ SEE ATTACHED SHEET)
DESCR. D — 3 Cl � i'
CONTRACTOR
NAME MAIL ADDRESS CITY USTATE LICENSE NO. PHONE
I
USE OF
BUILDING s �D
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ElOR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED El
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
1/ conformance therewith. PERMANENT Cl SHORELINES 1-1
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 BUILDING DEPT. 60/961
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be ' co form nce ther ith. MOTOR VEHICLE PERMIT
..�� APPLICATION ACCEPTED BY PLA .CHECK BY APPROVED FOR ISSUANCE
Owner Date_ G � tr1r
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING