HomeMy WebLinkAboutBLD16272 Final Wood Stove - BLD Permit / Conditions - 11/14/1984 KALMBACH, Ed _ #16272
10-18-84
Wooten Lake, Lot 95
2814 McClarn
Bremerton, Wash 98 383 377-6518
NE 181 Mt. View Drive
Tahuya, Wash
Wooten Lake. lst driveway right after left at stop sign.
Pink house at end of driveway.
Woodstove Contractor
Self
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: /y Ty
Stop Work:
Mobile Home:
Smpke Detector:
Remarks:
L
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
PERMIT NO. f CRI 7SQ!
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
IFd v- aJ, a%-Il X'11) 0 jf\) Ne to CLt3w-3
DIRECTIONS I VI-00*4b"N L.&V.R' �Q TaY-
TO JOB SITE �� ��' 'N Vit'vo Orl -M\1V �CI sT Wi\rtw 1 ,F �o Jj tj
LEGAL 11 __ l (❑�SEEE A ACHE SHEET)
DESCR. Lot �lj WOOD N:) �(7��(,'�- �i a, D lit A "@tuC' 'c N Dr,#
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR No to G- S 1 ro�
USE OF `
BUILDING �VO� r
/��M'Y
lV�Q.,f
Class of work: ❑ NEW ❑ ADDITION AdALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: rr L
p N O-7 VJb (ti r N F A Y Cr 9 1 Ir "� 1�1SO(`N-Q,/Y'
a c N1oo N) ,
Valuation of work: $ PLAN CHECK FEE PERMIT FEE A �'-
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE LJ
ATTACHED L; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT C OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
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 ANYTIME AFTER
I certi y that I am a currently registered contractor in WORK IS COMMENCED.
the Atate of Washington and I i a the
aware of the FOR OFFICE USE ONLY
ordnce requirements regulating the work for which
the permit is issued and all work done will be in
co formance therewith. PERMANENT I i SHORELINES i
SEASONAL l� FLOODPLAIN L]
Firml E.D. NO. S.E.P.A. 11
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 nd that all work done will ROAD ACCESS
be in conformanc i h. MOTOR VEHICLE PERMIT
LICATI N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Ow Date .!L 1 Q ci_T
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH