HomeMy WebLinkAboutBLD15133 Woodstove - BLD Permit / Conditions - 1/30/1984 CROUCH JR. , Robert & Lorinda #15133
1-30-84
'Tract 3 of Survey 7/99
Off Bloomfield Road. New development
SE 62 Arabian Rd. Shelton Wn. 98584
Contractor
Lumbermans
Woodstove
S 1 l /lam l CZ)-D-3 D
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Fr ami ng:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior :
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
DATE Y
BUILDING PERMIT"APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED 1�G
Iq 10 — r15 — OW30 PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
S• E' .� � S Et To GJ 9 z6- f��
DIRECTIONS
TO JOB SITE e/ 0
LEGAL �l 'F �/ (❑SEE ATTACHED SHEET)
DESCR. /a / 3 1 f}CT /- Su/�vC-1 719 .9
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR
F -3
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Z,j)00 CJS TG'UfJ
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT [' NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE ❑
ATTACHED I I SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED Lj
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 f FLOODPLAIN
Firm E.D. NO. S.E.P.A. L.
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APKICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner __ Date . L BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH