HomeMy WebLinkAboutBLD11122 Final Woodstove - BLD Permit / Conditions - 11/4/1981r
McREYNOLDS, 0. E. #11122
P. 0. Box 414, Belfair 07-30-81
Larson Lake Road and Larson` Baulevard
Lot 82, Block 5, BEards Cove
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Wood Stove Wood Stove Permit
$-0- Contractor - Oelf
BUILDING PERMIT APPLICATION
ti• MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 07-30 rl)
DATE ISSUED 666 /
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP HONE
YU�, / Z—>
DIRECTIONS
TO JOB SITE
I 4att� 'tzc saa-ea
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
CONTRACTOR
NAME AIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of w ork: $ PLAN CHECK FEE 1J PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS-- CARPORT C NOTICE
BATHROOMS ITOTAL SQ. FT. .. GARAGE C;
ATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILAI
NO. OF STORIES BASEMENT t I OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE [I DETACHED 1
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 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. PERMANEN SHORELINES
SEASONAL FLOODPLAIN I I
Firm
E.D. NO. S.E.P.A. L�
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. MOT EHICLE PERMIT
AP CATI N A BY NS CHECK BY APPROVED FOR ISSUANCE
Owe Date BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH