HomeMy WebLinkAboutBLD24846 Final Wood Stove - BLD Permit / Conditions - 12/5/1989 Shorelines: Plumbing:
Setback: Mechanica :
Special Interior-
Conditions: F INAL:�,�/
Mobile Home. '
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
- ----,rYPE--liciF0TPU,E
Permit No. 248"5 No. Floors Sq Ftg
Owner HEBLICH, Donald ,R Tel 275_3951 Date—] 1 -28-89
Address NE 391 fit View Dr Tahin,a Zip
Contractor Self
Address Zip
Legal Description 6Jooten Lake Lot 17
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 �g
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER 1 C'R t.> M nsj, ✓iktOOlz rY s - S
DIRECTIONS 1-111 -
TO JOB SITE A'4 e£
PARCEL LEGAL
NUMBER C?e13/9 �f0400017 DESCR. OT l 7 60007-rn/ a-4 K L/04 ur4Z y
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK 2 C
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 SAYS, 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
OW/GAPPROVAL
IDAVIT CONTRACTORS AFFIDAVIT
I CE I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQOR 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 CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT FROM TTHHE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X ,`' DATE 8 / 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 C PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE ca
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLAN E K F BY APPROV R UANCE PERMIT VALIDATION
,I TOTAL
�---e BY CASH CK MO