HomeMy WebLinkAboutBLD16239 Final Woodstove - BLD Permit / Conditions - 10/23/1984 BACON, Rick _ #16239
10-9-84
Rainbow Lake Lot 31
E 191 Evergreen Drive
Shelton, Wash 98584 426-7509
Contractor
Self
E Evergreen Drive off of Mason
Lake Rd.
good§tove.
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mebile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION -
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED�� —
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
yel
DIRECTIONS
TO JOB SITE LO � �� ('QR�,�r p�
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �k� JQS �s1�
CONTRACTOR MAIL ADDRESS LICENSE NO. PHONE
USE OF
BUILDING ~"�
Class of work: ❑j4EW AD TION ALTERATIO ❑ REPAIR ❑ MOVE ❑ REMOVE
e �
Describe work: � �r
Valuation of work: $ PLAN CHECK FEE PERMIT FEE/ D a
SPECIAL CONDITIONS:
BEDROOMS DECKS — CARPORT L NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE !]
ATTACHED L SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE [ : DETACHED Ll 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 ate of Washington and I th aware of the FOR OFFICE USE ONLY
or ance requirements regulating the work for which
th permit is issued and all work done will be in
c nformance therewith. PERMANENT SHORELINES
SEASONAL L FLOODPLAIN
Firm
E.D. NO. S.E.P.A. I i
By Special Approvals IN OUT YES APPROVED NO
Lic- o. 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.
which this permit is issued and that all work done will ROAD ACCESS
be i rm a th 9 MOTOR VEHICLE PERMIT
�/ AIPLIC N ACCEPTED Y PLANS CHECK BY EPROVE FOR ISSUAN E
Owner Date .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH