HomeMy WebLinkAboutBLD11978 Wood Stove - BLD Inspections - 2/2/1982 Rowland, C. W. #11978
(426=7346) 2/2 82
Treasure Island, Lot 63
Grapeview.
Wood Stove Contractor:
None Listed
$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. //q7a
OWNER 6NAME � MAIL ADDRESS CITY 8 STATE ZIP PHONE
_4. Zo 5` `73YG
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING °
Class of work: 1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: ' \
oR
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
.O
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED El OR
PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 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 ❑
Lf,l��—� SEASONAL ❑ FLOODPLAIN ❑
Firm �— /T7 E.D. NO. S.E.P.A. ❑
By �Gl b Special Approvals IN OUT YES APPROVED NO
Lic. No. ate 9- 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.
2of ordinance requirements forit is issued and that all work done will ROAD ACCESS
nce ewit _ MOTOR VEHICLE PERMIT
C � )�� LIGATION ACCEPTE BY PLANS CHECK BY APPRO R ISSUANCE
0 Date -
�A CHECK VALIDATION CK,. M.O. CASH PE MIT VALIDATION CK M.O. CASH