HomeMy WebLinkAboutBLD23206 Woodstove - BLD Permit / Conditions - 1/6/1989 Shorelines: Plumbing:
Setback: Mechanics :
Special Interior.-
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
emarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 23206 No. Floors Sq Ftg
Owner RENECKER, Bernice Tel 426-8016 Date 1-6-89
Address E 160 Evergreen Dr Shelton Zip
Contractor e
Address Zip
Legal Descriptionl Lot 24
Direction to project site s rod pas d drk o 0
sto si n at end of rd. go rt.Go to 1st right again on
Evergreen Dr to above address
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport XX
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 1r06-
PERMIT NO. o2-32�b CP
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER r Pier- rPc J2iclbtl 0A S84 a6-9%.
DIRECTIONS
TO JOB SITE 6 rl / e- -ljclj4
-4w 5 ' '!zi(f of cio
I/ )U, ✓1 ram,.
NUMBER a DESCR. L Lt rr'64 oh 1
NAME M ILADDRESS CITY&STATE LI ZIP PHONE
CONTRACTOR
USE OF
BUILDING nLQ_
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE r
WORK pc4S4��� c' / 00^
OL�� C �3 - ( �(�c JG a e►nJ17/1t"
Ir-xve'qC -
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS n TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES ` BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. u� FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AF DAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 1 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 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 CONF MANCE THEREWITH. NO NGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
0 3TA NNI APPROVAL FROM THE LDING D PARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
G ll� c
X ER ATE "' (,'Q, A X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE v d
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
- TOTAL
BY CASH CK MO