HomeMy WebLinkAboutBLD19407 Final Woodstove - BLD Permit / Conditions - 10/8/1986r--
TYPE WOODSTOVE
Permit ND. 19407 No. Floors Sq Ftg
Owner BAXTER- .Tamps A_ Tel 426-9682 Date 10-6-86
Address E 220 Deer Cr Rd Shelton Zip
Contractor None
Address Zip
Legal Description Tr j of SW,1Jb (Tr B & C S/P #363)
Direction to project site '16-21-1
Plumbing Mechanical Sewer Wood Stove x _
Fireplace Deck Garage Carport
Basement Loft Other
l
Shorelines: Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL:OK /0- - 77
Mobile Home:
Smoke Detector:
Remarks:AIIZ -
Footing: -, "A
Setback: a O rW-n
Foundation ix� 0/2p
Walls:
Framing:
Fireplace:
Wood Stove:pK /0-5-&6 fi ,P
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
I ` ` y ►L� l 9 PERMIT NO.—
NAME MAIIJADDRESS CITY&STATE ZIP PHONE4QL�Lg
OWNER ;; /�
DIRECTIONS
TO JOB SITE
LEGAL
DESCR. i � L: r .`7 i�, I�� L T Rs
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF
WORK NEVV ADDITION REPAIR MOVE REMOVE
✓ _._...___ .._.__ --
DESCRIBE _
WORK 'J — V i
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT S MRELINE
SEASONAL
OWNERSAFF AVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS FOR WHICH-'HIS 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 CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER' DATE �} - �' 6 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY ASP P IVER ISSUANCE PERMIT VALIDATION
TOTAL CYO
cL CASH CK MO