HomeMy WebLinkAboutBLD22749 Final Woodstove - BLD Permit / Conditions - 9/22/1988 l�
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Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: —27
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 22749 No. Floors Sq Ftg
Owner TOBIN, Larry C Tel 426-1812 Date 9-19-88
Address _123 E Agate Rd Shelton Zip
Contractor Self
Address Zip
Legal Description NXXZ2 Tr 5 NE SE 36-21-3
Direction to project site Above address
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 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.L7,�
ME MAIL ADDRESS � � CITY&STATE � Z�� PHONE
OWNERInNaG
DIRECTIONS '
TO JOB SITElJ�
SE/
PARCEL LEGAL
[,
NUMBER L �Q DESCR. b ".36 - l-�
NAME MAIL ADDRESS I CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR f
USE OF
BUILDING
CLASS
WORK O✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE / s
WORK C�C�/C/ 0167-0
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 SHORELINE
SEASON
V
SAFFIDAVIT CONTRACTORS AFFIDAVIT
THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
ENTS 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
ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
G APPROVAL FROM THE BUI(TTRISQEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
OWNER (I� ATE 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
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL / ��