HomeMy WebLinkAboutBLD21377 Final Woodstove - BLD Permit / Conditions - 1/22/1988 - 000-70
Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:�<
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Mobile Home:
Smoke Detector:
Remarks: tc' r",—,f, Zfc_
Footing: ?N�c
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 21377 No. Floors Sq Ftg
Owner BARNES, Jack Te1426-9406 Date 1-4-88
Address E 127 Agate Rd Shelton Zip
Contractor None
Address Zip
Legal Description Por S-1/2 SE NE SE 36-21-3
Direction to project site 6 mi. E of town, Hwy 3, right
on Agate Rd. Drive across from fire station. End of drive-
wa
Plumbing Mechanical Sewer Wood Stove x
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 H E I S LTON, WASHINGTON 93584
427-9670 DATE ISSUED/ 171-?C>
PERMIT NO. n� �e✓ / /
OWNER NEE MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS , //
TO JOB SITE N�1 e -. CAj 3 r, 4- 0 ti � �r c-
v Y v -4 GcJ c^ ci C V t- C -c l "o -1 " d o _ "Ur-,
PARCEL LEGALI //q 5
NUMBER _ , DESCR.
CONTRACTOR �_ Al _
NAME MAIL ADDRESS CIT &STA E LICENSE NO. I ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 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 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
REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OITA VAPPROAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X W R.�L��2' � �7�Z�ATE `/ � r XBY DATE
FOR OFFICE USE ONLY
DEP4 TMENT YES APPROVED O DEPARTMENT YES APPROVEDBUILDING VALUATION ---- --
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
W OODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION C7 O
TOTAL X .
BY CASH CK MO