HomeMy WebLinkAboutBLD15434 Final Wood Stove - BLD Permit / Conditions - 4/24/1984 013434
4-24-84
Block 1, Lot 9
B 91 Orchard Lane
Shelton, Wash 98584 426-1548
Contractor
The Fireplace
Woodstove
$1,400.00
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BURVING MRIT APPLICATIN
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO. /,JVJ54
OWNER gM MAIL ADDRESS CITY A STATE ZIP PHONE
Ow6 91 QW
DIRECTIONS
TO JOB SITE
1 (❑SEE ATTACHED SHEET)
OESCR. 4� a Alzd=
NAME ADDRESS CITY 6 TE A('O�
E NO. PHONE
CONTRACTOR �
USE OF
BUILDING
Class of work: �!Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE VREMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE,*
/ID
.cS oa
SPECIAL CONDITIONS:
BEDROOMS 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 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 AIIIANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR ` F F I C E 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. ElB Special Approvals IN OUT YES AP NO
Lic. o. 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 i ued and that all work done will ROAD ACCESS
be in conformance ere ' h. MOTOR VEHICLE PERMIT
` P LIGATION A ED BY PLANS CHECK BY APPROVED FOR ISSUANQE
O er Date. ,/ Y
PLAN CHECK VALIDATION CK. M.O. CASH PE IT VALIDATION CK. M.O. CASH