HomeMy WebLinkAboutBLD0257 Final Woodstove - BLD Permit / Conditions - 2/20/1985 YATES, Wm. #0257
2-5-85
Sam B. Theler's Home & Garden Tracts Tr. 27 & 29
Box 72
Belfair 98528 275-2718
So. past elementary shcool at NE 22670 Hwy 3 (grey house
green trim, chain link fence)
Contractor
Hans Ariens
Woodstove
$-r
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior: _
Final:d L �D 5
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 '
426-5593
DATE ISSUED o� r� _
PERMIT NO. C7 �47 1
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE �^
DIRECTIONS I_ 1 JAI 46 U S e
TO JOB SITE 5 O tt,th 5 t CIO-M ' LC d)bo IV, L A A6 7 D � . � � � Q. 23
( /2 %
LEGAL 1 5 g� �h��� �S ( .Se ATTACHE HEET)�h��`
DESCR. 9 NAM¢ ' �N
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
s NS I c a S w� 8S i L lli'1
USE OF /
BUILDING �S i+ /VC �el�(V5�
Class of work: fA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
NS ro, GL, i3Aick ch; mNe- .ciRth aPyJ 13R11' c- k i eh ; A, d
Lu o d d Slbv e- to be N SU I 5- 4 . .
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS . I DECKS _ CARPORT [] NOTICE
BATHROOMS _.— TOTAL SO. FT. _ GARAGE ❑
ATTACHED 1 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE 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 at I am a currently registered contractor in WORK IS COMMENCED.
the Sta of Washington and I the
aware of the FOR OFFICE USE ONLY
ordina a requirements regulating the work for which
the p mit is issued and all work done will be in
conf0 mance therewith. PERMANENT I ' SHORELINES
SEASONAL 1 ; FLOODPLAIN
Firm
E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. N 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 ROAD ACCESS
be i conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLAN �FCK BY APPROVED'OR ISSUANCE
Owner Date .��`� B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH