HomeMy WebLinkAboutBLD16095 Woodstoves - BLD Permit / Conditions - 9/10/1984 Harvey, Dwayne c/o Preview Realty- #16095
426-9748 9/10/84
S 130' of NE 1/4 of NE 1/4 of NW 1/4 of 22-20-3
Go to Agate Store, take right, go 1/8 mile, look to
left, two brown mail boxes on right at 1561 & 1563
Crestview.
2 Wood Stoves Tuson Masonry
Shorelines:
Setback:
Special Conditions:
0o ng:
Setback:
Foundation Walls:
Framing:
Fireplace: 1
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: y i 7 8'y
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
• 1 BUILDING PERMIT APPLICATION
MASON COUNTY._
P.O. Box 186 Shelton, Washington 98584
426-5593 �J//U��
DATE ISSUED
PERMIT NO. U
OWNER AM MAIL D RES f ITY 8 SyATE ZIP PHONE
DIRECTIONS ,j 7;,,,7o IV14,"1iV An 4 ,
TO JOB SITE p / �Lo d ./ p� Jo �Y/� T0{! 0/1 lq�
LEGAL / / (❑ SEE ATTACH HEET) �j/)
DESCR. I O f /V G� ,�/ Y�' je O � 4G� 1 d� o�_2 C1
`�f(CIE MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR 1'fson
USE OF
BUILDING �
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE .
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS ITOTAL SQ. FT. GARAGE !J
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE 1J 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 I
SEASONAL [] FLOODPLAIN
Firm 01t /9 �( 1�l
E.D. NO. S.E.P.A. f
By IVIO`C �c.� se7ti— r l 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 R 18.27, and am aware BUILDING DEPT.
of the Mason County or ' ance requirements for
which this permit is issue nd that all work done will ROAD ACCESS
be in conformance ther ith. MOTOR VEHICLE PERMIT
PLICATION AC EPTED BY PLANS CHECK BY APPROVEP FOR ISSUANCE
Owner Date. a Y
t ti
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. / M.O. CASH