HomeMy WebLinkAboutBLD22881 Final Woodstove - BLD Permit / Conditions - 10/18/1988 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:Ll/p Li- P
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No.' 22881 No. Floors Sq Ftg
Owner HELM, Lawrence Tel 275-6118 Date10-12-88
Address P 0 Box 873 Belfair Zip
Contractor None
Address Zip
Legal Description Beards C ove Div 6, Lot 15
Direction to project site NE 611 Larson Blvd.
Plumbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
WOODSTOVE IN MOBILEFOME ADDITION
BUILDING PERMIT APPLICATION
I'
• MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEDA')-`7?-C�
PERMIT NO.<:;W-64�11:�pl-
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER ��w,�� ��y-. 1.�?�o�r �7
bIRECTIONS4/e- • U✓ /oY{�` p ��h /�r r
JOB/SITE �p Sh R A �� %urn �J `i o c, D �rSaD el
PARCEL
PARCEL LEGAL '
NUMBER ,
DESCR. ` CGc v ��U610 j
NAME MAIL ADDRESS CITY&STATE LICENSE N67 ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE i iD
WORKzz),
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, 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 CER FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
B INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER_ -��%�
DATE v X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE �J
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE ][PERSITVALICATION
TOTAL 1 ,BY CAH K MO
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