HomeMy WebLinkAboutBLD19232 Final Woodstove - BLD Permit / Conditions - 9/12/1986 TYPE WOODSTOVE
Permit No. 19232 No. Floors Sq Ftg
Owner HASKELL, Bruce A. Tel 426-8617 Date 9-2-86
Address E 130 Evergreen Dr Shelton Zip
Contractor Self
Address Zip
Legal Description Rainbow Lake Lot 21
Direction to project site
E 130 Evergreen Dr.
Plumbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: Plumbiog:
Setback: Mechanic
Special Interior:
Conditions: FINAL: m /2
Mobile Home:
Smoke Detector:
Rem�arks:,4/141 -
Footing: "—O-OV al
Setback: Q/L
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 r f _
426-5593 DATE ISSUED 7
PERMIT NO. r93
OWNER AME MAILADDRESS CITY&STATE ZIP "PHONE
l 3� r I► 9SS3
DIRECTIONS Y6^86/7
TO JOB SITE GL
LEGAL
DESCR.
CONTRACTOR
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP
USE OF
BUILDING
CLASS OF NEW ' ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE � n / / [�
WORK r`►-L✓ ,0OlC � �r`Ot I1 k`c ArJ -S'�OIJQ � /�.� `I C
r^r�e
BEDROOMS •1 DECKS AtO&IIII AR PORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS _ TOTAL SQ.FT. 'LW 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 SQ.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 ANGES ALL BE MAD WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI�+IG AP FROM THE I N EPA MENT. APPROVAL FROM THE BUILDING DEPARTMENT.
O DATE v v � X BY DATE
Al FOR OFFICE USE ONLY
DE RTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
1EALTH PUBLIC WORKS FEE
LANNING FIRE BUILDING PERMIT
D.T. BUILDING PLAN CHECK '
=CIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
N ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL ��QG
IBY CASH Cl MO