HomeMy WebLinkAboutBLD13059 Final WoodStove - BLD Permit / Conditions - 9/24/1982 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER '1ZaNa� D. C 18 A .�N�WT1 r VIJA 1'3R2 N �1 o2-73'
DIRECTIONS �^
TO JOB SITE S� ICI e, On} t 1 �- LAke jamw AA RE4 bAs Sht4
LEGAL ��[[ 1 (❑ SEE ATTACHED SHEET`)(�
DESCR. OV�'• Ofi TeC-r1ON iNA&4 A+ 7 7691361 V'f tl E- ,4A k..
NAME MAIL ADDRESS CITY&STATE LIC NSE NO. PHONE
CONTRACTOR
USE OF
BUILDING R e 1 PNi A
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
u �a11 N �' +moo xs�s�� irze- lAc.e.
Valuation of work: $ PLAN CHECK FEE PERMIT F
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS_- (TOTAL SO. FTae0 GARAGErJ,;�'
ATTACHED ❑ SEPARATE PERMITS.ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
[TOTAL SO. FTAI,02a FIREPLACEte 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 wi% E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No.C 14 Y &P/4- —(Qq Us' 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 BUILDING DEPT. J $
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
PPLI ATION ACC ED BY#1 PLANS CHECK BY APPROVED FOR ISSUANCE
Ow r Date.
O� B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
MrK1e jpn, Ronald D. #13059
NE 352nd W . Tiger Way, Bremerton 98312 9-24-82
275-5393
SW side of Tiger Lake Turn at Red Bus Shed 2nd house
from end.
G. L. 6 5-23-1, Tr. 1 of Tiger Lake
Wood Stove Insert into existing fireplace
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