HomeMy WebLinkAboutBLD22556 Final Woodstove - BLD Permit / Conditions - 9/22/1988 a � - ��
GO U
Shorelines: Al Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: ,n,(�
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 22556 No. Floors Sq Ftg
Owner JARLOCK, Arnold Tel 275-8376 Date 8-18-88
Address P 0 Box 671 Belfair Zip
Contractor None
Address Zip
Legal Description Tr 13 Survey 2/12 15-23-2
Direction to project site NE 5521 Elfendahl Pass
Plumbing Mechanical Sewer Woo 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
426-5593 DATE ISSUED -
PERMIT NO,�1,55
ME VAILADDRESS - 1 CI STATE ZIP PHONE
-
OWNER o �
DIRECTIONS
TO JOB SITE R S S
LEGAL
D ESC R. �C� o.� [ l4v o 5 . 2-3 Alo iz? Z �,iL 4J. d
CONTRACTOR NAME MAI ADDRESS CITY&STATE LICE01SE NO. ZIP PHONE
USE OF bt
BUILDING � 0/2 xqL�
CLASS OF
WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI YATION LAW THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBITAI NG APPROVAL FROM BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
008/��
X E DATE X BY DATE
o
FOR OFFICE USE ONLY
DE RTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT -
D.O.T. BUILDING PLAN CHECK _
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
T PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL a
BY CASH CK MO