HomeMy WebLinkAboutBLD20592 Final Woodstove - BLD Permit / Conditions - 7/20/1987 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL: - -g
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove —
TYPE WOODSTOVE
Permit No. 20592 No. Floors Sq Ftg
Owner THOMPSON, Mike Tel 426-5396 Date 7-15-87
Address E 1490 Mason Lk Dr S Grapeview Zip _
Contractor None
Address Zip
Legal Description NE NW Tr 1 & 2 34-21-3
Direction to project site past Oak Park take lst right
follow road to stop sign, take a left. Big dirt drive
wav on 1st right
Plumbing Mechanical Te—wer-- --- Wood Stove x
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. �)Q� ��
OWNER NAME MAILADDRESS CITY&STATE ZIP PHON
��/`�o /��r tl �e �r S ��-rtv,r,� `/"3Sy6 y2� ss`l
DIRECTIONS t
TO JOB SITE /s� L%��� ���1` -k11�� /� i �S� �4'yo l rOIICJ�
PARCEL LEGAL
NUMBER (Y) DESCR. (� �2 �-
N
CONTRACTOR ME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK [A,[C-)()
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPRO�V"AL"FROM THE BUILDING DEPARTMENT. / J APPROVAL FROM THE BUILDING DEPARTMENT.
X OW ER Jl�yt C�1(�Q,� w� ��"DATE /
X BY DATE
FOR OFFICE USE ONLY
DEPA*MENT APPROVED DEPARTMENT APPROVED
YES NO YES NO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORE E
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLI TIO CEPTED BY FANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
J BTY CASH CK MO TOTAL
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Y.