HomeMy WebLinkAboutBLD13485 Wood Stove - BLD Permit / Conditions - 1/10/1983 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �� �►�
DATE ISSUED (� Q
PERMIT NO. 13 T O S
OWNER AME ( MAIL ADDRESS CI TATLOOL CoRECTIONS J[JC�'
TO JOB SITE
LEGAL / er -A d dr1j r (❑ SEE ATTACHED SHEET)
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DESCR.1 :!�) Pln-k k
CONTRACTOR NAME AIL ADDRESS CITY&STATE LICENSE NO. PHONE
S �v i tc ��
USE OF
BUILDING
Class of work: ❑ NEW 'ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
PAVIM11 1 S — / /
Valuation of work: $ PLAN CHECK FEE PERMIT4fE D�
SPECIAL CONDITIONS: ,
BEDROOMS_t _ {DECKS "'+ CARPORT ❑ NOTICE
BATHROOMS I TOTAL SQ. FTjffA: GARAGE
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES3-- BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT�.2�'D 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. Cl
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 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
/ pQ P LIGATION ACCEP D Y PLANS CHECK BY APPROUED-FOR ISSUANCE
Owner Date, ®J
CHECK VALIDATION CK. M.O. CASH PE IT VALIDATION CK. M.O. CASH
Christy Steve #13485
426- 76 1/10/83
Lot 5, Block 6, Walker Park Addition
2223 Walker Park Road
Wodd Stove Contractor:
Same
$__ Wood Stove Permit
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