HomeMy WebLinkAboutBLD15227 Final Woodstove - BLD Permit / Conditions - 3/13/1984 SCHMITT, Richard #15227
3-6-84
N-1/2 15-23-2
P. 0. Box 371
Belfair, Wash. 98528
Contractor
Dale Cunningham
Elfendahl Pass Rd. 2-1/2
miles from the Belfair-Tahuya Rd.
Woodstove
. . . .
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof: !
Exterior :
Interior:
Final: jr,(' 3
Stop Work: �—
Mobile Home:
Smoke Detector :
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /
DATE ISSUED
40 D w vL 4 v
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE zip PHONE
t �1 IWL r9 a 9 -2 9- Z T —4 T
DIRECTIONS T� 1
TO JOB SITECja 2 i-,,,j a Yo 1 V Q Vitt j
LEGAL ' (❑ SEE ATTACHED SHEETf
A1 DESCR. ' JV I j— 1vt- 2"16( �Z L.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR ^��C�xn`n f�,aw (� 13 v t
USE OF `f
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BUILDING $licit K III d
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation 0 work: $' n f w
PLAN CHECK FEE PERMIT FEE Od
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [, NOTICE
BATHROOMS__— TOTAL SO. FT.__. GARAGE i
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ATTACHED 1 OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE I: DETACHED L
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
r SEASONAL i I FLOODPLAIN i
Firm �Itl E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. NoC_U rX /� 14Q. Ole 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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
7APPATION A CEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH