HomeMy WebLinkAboutBLD15055 Final Woodstove - BLD Permit / Conditions - 1/6/1984 HANFT, Gerald M. #15055
426-5928 - 1-5-84
Lake Limerick Div. 4, Lot 182
E. 110 Olde Lyme Rd.
Shelton, Washington 98584
Wood Stove Contractor
Self
. . . . . . . . . . . . .
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior :
Final: �y c
Stop Work:r
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 MAIL ADDRESS CITY&STATE ZIP PHONE
14s4 FT G-6RAtfl 6 64bC Ra s,Hfzr At s Nliyvag8s8 �2[� aSzB
DIRECTIONS
TO JOB SITE I llu Su A.w_ ED 21 Ali 70 0414 lY.sv£ Rb YNI
LEGAL (O SEE ATTACHED SHEET)
DESCR. ,LAKE. kIm5- ZtCr__ Z)%V. 4 J_or
CONTRACTOR I $a
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING qQN
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
1Q�Z> STVvC-_ Nsp-9CrfvAl
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_ {DECKS CARPORT I] NOTICE
BATHROOMS__ (TOTAL SQ. FT. GARAGE !]
NO. OF STORIES BASEMENT L] ATTACHED I SEPAR
A RATE PERMITS
E MI NG RE REQUIRED FOR PLUMBING, HEATING, VENTILATING
TOTAL SO. 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
SEASONAL I I 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.
v 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
Sn conformance therewith. MOTOR VEHICLE PERMIT
/ ip P IC ON CC EP BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date.�_a I BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH