HomeMy WebLinkAboutBLD21281 Final Wood Stove - BLD Permit / Conditions - 12/8/1987 Shorelines: Plunbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:4
Mobile me:
Smoke Detector:
Remarks:
Doting
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 21281 No. Floors Sq Ftg
Owner BRODIGAN, David Tel 692-9080 Date 12-3-87
Address 9096 Old Military Rd NE BremertonZip
Contractor Self
Address Zip
Legal Description Wooten Lake Tr 1
Direction to project site NE 381 Mountain View Dr
Tahuya
Plunbing Mechanical Sewer Wood Stove x
Fireplace Deck Garage Carport
Basement Loft Other
PLEASE MAKE CHECK PAYABLE TO MASON COUNTY TREASURER
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 �
427-9670 DATE ISSUE
PERM ITNbn
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NER NAME AVM.' V�CVV �� N MA�ADDRE�J (r 1�r f9�C ITY%&STATE
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NUMBER DESCR. J' 'N
NAME // � MAILA DRESS CITY&STATE LICENSE NO. I ,,// PHONE
CONTRACTOR NSI/��cU (�`JN&�' /JA EP' 7�•
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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
SEASONAL
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ME 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
IN CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPR AL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O'v E !i c ATE r X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YEAPPROVEDJO DEPARTMENT YES DEPARTMENT BUILDING VALUATION
--
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE J
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL