HomeMy WebLinkAboutBLD11830 Air Tight Stove - BLD Inspections - 12/9/1981 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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TO JOB SITE A/ �. f .¢���e J j�yuC 'ed 4 Crj/d L e
LEGAL SEE ATTACHED SHEET)
DESCR. l t•(�i/ �lv �G�-� � G(�� -k� �Q��� +
NAME MAIL ADDRESS CITY&STAYE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ ,.. PLAN CHECK FEE PERMIT FEE
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SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE 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 ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm 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 s
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
(Q A LIGATION CfPTEp BY PLAyS�CH APPROVED FOR ISSUANCE
Owner `• ate./.x—�= / jNnlf//J; 1
BY
P CHECK VALIDATION CK,. M.O. CASH U LOERMIT VALIDATION CK. M.O. CASH
Turner, M. E. #11830
(4 6-0188) 12/9/81
Tract 202, Plat of Treasure Island, Lot 202
Treasure Island, Turn right at water tank, 3rd
house on left, lot 202.
Air Tight Stove Contractor:
Owner
$-- Wood Stove Permit
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