HomeMy WebLinkAboutBLD9321 Woodstove - BLD Permit / Conditions - 1/19/1981 Turney, Bob #9321
.1-19-81
Belfair No. Shore to Sandhill Rd. , 1/2 mi. , turn left into
Beard's Cove, go to top of hill to Larson Lake Rd. , turn
right, 2 blocks on right, yellow and brown house
Beard's Cove, Lot 63, Div. 5
Wood Stove
BUILDING PERMIT APPLICATION
` MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 r >
DATE ISSUED
PERMIT NO. 9-sa z
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
E s o T`f� G F.c i'
DIRECTIONS I Zre< F! / A/O "O/tG TO Satu6 YlL(- yZ A.-L/c G Tv,CA, < <i=>/,t,To (�E,yrlatia(fovC
TO JOB SITE _o
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. L p 6
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING AIA
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
S T
Valuation of work r ,r, PLAN CHECK FEE PERMIT FEE b
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS ITOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SC FT. FIREPLACE ❑ IDETACHED ❑
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
conformance therewith. PERMANENT L SHORELINES I i
SEASONAL [ ] FLOODPLAIN I I
Firm E.D. NO. S.E.P.A. I !
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.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will R9AD ACCESS
be in conformance therewith. T VEHICLE PERMIT
�r. l p- �� A LI TION AC Y PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date .f o BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI CK. .O. CASH