HomeMy WebLinkAboutBLD14427 Final Wood Stove - BLD Permit / Conditions - 10/11/1983 Johnson, Bruce #14427
564-6739_ Tacoma 7/25/83
Madings Sunny Shore Addition 6, Tract 78
Mason Lake Drive East on dead end road beyond Mason
Lake Marina, drive .9 mile beyond Marina & turn left at
Johnson's Joke, A-Frame on left.
Wood Stove Only Contractor:
None Listed
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:jp- /I- 9,S, Ok_ C,
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:-CD- - S- p/G
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. c,')
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
o . i v �cr`co+.,q. W 4 cP 5 6 4 —fo Z 3
DIRECTIONS L �a st o &Q"P_ e_M Q_ Y owcQ�QY VAC /t4INSoh 1-0, kP_ -A44li-^C.
TO JOB SITE v IF � I
bg un l^^4r�nA 1� -�'t.��rh (C.�� ci: �Nssi, atK.Q cn QTf_
LEGAL �l�(�T rra, S lA M My. S�o c- I&u -rO ��4 c� 7 P (❑ SEE ATTACHED SHEET)
DESCR.'
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING Lc
Class of work: ❑ NEW ❑ ADDITION P(ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: II 1
C O)1 V e-v-.s o M '�'f;'O w, t? 'i � /'I Q 4 (I�1 I0 0 7-i-'r
C_ TV" cc &-CI Q -9-X: 0 h
C P z o T p P i N 1.
Valuation of work: $ 00 PLAN CHECK FEE PERMIT FEE
h.
SPECIAL CONDITIONS:
BEDROOMS_ DECKS CARPORT ❑
NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE [;
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [i OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
SEASONAL i; FLOODPLAIN !
Firm
E.D. NO. _ S.E.P.A. lj
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in c nformarkoe therewith. MOTOR VEHICLE PERMIT
(\ l �✓ 2 AP LIGATION ACC TED BY PLANS HECK BY APPROVED FOR ISSUANCE
Owner '�'t�'' Q+� Date.
17
P A CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH