HomeMy WebLinkAboutBLD10998 Final Woodstove - BLD Inspections - 8/5/1981 KERN, Phil #10998
St. Rt. 1, Box 269, Allyn 07-14-81
Detroit Town Site, 8th house on left, Detroit Tract #2
Lot 10
Wood Stove Insert
Contractor - Self
$ -0- Wood Stove Permit
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED
PERMIT NO.
7DESCR.
NAME MAIL ADDRESS CITY 8 STATE ZIP
S70 r / f?�x 2j PHONE
fc7c' (DLL 8 z �7 S� 75•�
ONS
SITE C`T () t 'TD 4- G?�
%'- �•7`f ,ems, (❑ SEE ATTACHED SHEET)
CONTRACTOR NAME MAIL ADDRESS T CITY 8 STATE
LICENSE NO. PHONE
USE OF
BUILDING
Class of work: KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ ;7 510 pA--0 •
PLAN CHECK FEE PERMIT FEE Ory
SPECIAL CONDITIONS:
BEDROOMS `DECKS CARPORT ❑
BATHROOMS (TOTAL SO. FT._._ GARAGE ❑ NOTICE
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
TOTAL SO. FT. FIREPLACE [IDETACHED ❑ OR AIR CONDITIONING.
CONTRACTOR AFFIDAVIT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES,/
Firm
SEASONAL ❑ FLOODPLA14 ❑
E.D. NO. S.E.P.A. ❑
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 and that all work done will ROAD ACCESS
be in conformance therewith.
_ MOTOR VEHICLE PERMIT
t 7;yI0N AC TED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Date.J �Y _� -S�
BY
"K VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.C CASH f