HomeMy WebLinkAboutBLD18161 Final Woodstove - BLD Permit / Conditions - 12/22/1985 TYPE WOODSTOVE
Permit No. � 18161 No. Floors &q Ftg
Owner SHORT, Morris Tel 26-+358 Date 11-25-85
Address P. 0. Box 1242 Shelton Zip
Contractor Self
Address Zip
Legal Description Lot B S/P 1305 31-21-3
Direction to project site
E 3035 Brockdale Rd.
Plumbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
ina
o ile Home:
Smoke Detector:
Remarks:
i
BUILDING PERMIT APPLICATION
MASON COUNTY •
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �MA
PERMIT NO. �[[J
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DR41.$ D, 3e S G7w CIg �C� f/3.5
DIRECTIONS
TO JOB SITE E-F,09s' ,E&CCbp9,1 f
LEGAL LO T-P-- (3 4) (❑ SEE ATTACHED SHEET)
DESCR. 1/W 31
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF "
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 1; O
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State i Washington and I aware of the FOR OFFICE USE ONLY
ordinan requirements
the regulating the work for which
the pe it is issued and all work done will be in
conf mance therewith. PERMANENT ❑ SHORELINES i 1
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
1 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.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
/— Q jr APP CATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISF
Owner o■'v(�fv ..L �(� Date v _ BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
CHRISTMASTOWN PRINTING