HomeMy WebLinkAboutBLD9969 Final Wood Stove - BLD Permit / Conditions - 10/7/1982 BUILDING PERMIT APPLICATION
MASON COUNTY
' P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME 6 YNJ MAILl�DDRES$,R 7 CI /� C .- 0 ', ! ZIP L PHONE
OWNER
DIRECTIONS 1iCr'77 ��!!V W
TO JOB SITE
J❑ S),E ATTACHED SHEET)
LEGAL
DESCR.
AIL Aal—
DDRESS CITY 3 STATE LICE NO. PHONE
'M�
NAME
CONTRACTOR
USE OF
BUILDING
Class of work: KNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE O 1
SPECIAL CONDITIONS: v
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ 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 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
PERMANENT ❑ SHORELINES ❑
Conformance therewith.
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No.
Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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 conforman, a therewith. MOTOR VEHICLE PERMIT
C Q APPLICATION ACCEPTED BY PLANS iECK BY APPROV FOR ISSUANCE
Owner Date, 3 T
P N CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
HLmilton,' A. C. #9959
275-3596 10/5/82
Lot 3, Division 8, Lakeland Village
Allyn
Wood Stove Insert Contractor:
Cheap Heat
Wood Stove Permit
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