HomeMy WebLinkAboutBLD16135 Cancelled Woodstove - BLD Permit / Conditions - 1/9/1991 SARVER, Charles Wynn #16135
9-18-84
Sam B. Theler Home & Garden Tracts Tract 13-A
NE 1881 Old Belfair Hwy
Belfair, Wash 98528 275-3222
Contractor
Dale Cunningham
Woodstove
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
A VOID BY X P!R r^4
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �/Op
1 DATE ISSUED
/�
PERMIT NO. /`�-� /3 C7
E MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Vy Sah er L' I PG pl 1Ir'.vr P4 ! a ' L z� -3"Ll
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. SdYN13,1'!�� (ter I�cN► ` �otclo�s TvaCdg Tr�c �- f 3 /-1
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
dal k# Polo iot,� c1-4C4Pt- %,Iq 16
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
W oc�
Valuation of work: $ PLAN CHECK FEE PERMIT FEE pj
SPECIAL CONDITIONS:
BEDROOMS_ I DECKS CARPORT I ; NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE I
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE IJ 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 ANY TIME AFTER
I certify that I am a currently registered contractor In WORK IS COMMENCED.
the State of Washington and I am aware of the FOR OFFICE USE ONLY
ordinance requirements th..regulating the work for which
the perrr�4-19 issued and 111--v4rk done will be in
conforman PERMANENT SHORELINES I
SEASONALI ' FLOODPLAINI_]
Fir E.D. NO. S.E.P.A. 11
By Special Approvals IN OUT YES APPROVED NO
Lic. No. C 1'1e-4 P � ZONING
Iqq OT C e f p
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 ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
LICA ON ACCEPT�BYPLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH