HomeMy WebLinkAboutBLD N/A Final Woodstove - BLD Permit / Conditions - 8/22/1985 Crosswhite, Garlon #---- ,
272373, Belfair 3/29/83
Sam Theler's Home & Garden Tracts, N 165' of 27 & 27A,
Except 27F
NE 22680 Highway 3, Belfair
Wood Stove Contractor:
None Listed
$-- Wood Stove Permit
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: 04 " - -
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 '�
DATE ISSUED
PERMIT NO.
OWNER NAME L A DRESS/ CITY 8 ST TE ZIP PHONE
2 to r ti t 'Q ;_7 2 7
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. o! -
CONTRACTOR NAME MAIL ADDRESS CITY✓i STATE LICENSE O. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS _ CARPORT [,! NOTICE
BATHROOMS TOTAL SO. FT. GARAGE I
ATTACHED L: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L1 OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE "1 DETACHED
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 SHORELINES i
SEASONAL i 1 FLOODPLAIN :1
Firm E.D. NO. S.E.P.A. i 1
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. g L�
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY P A CK-BY PROVED FOR ISSUANCE
Owner /� '�'� Date' / BY
4 CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH