HomeMy WebLinkAboutBLD15689 Woodstove - BLD Permit / Conditions - 6/18/1984 ADAMS, Charbes #15689
6-18-84
?imberlakes Div. 1, Lot 238
E 370 Agate Drive
Shelton, Wash 98584 426-1572
Contractor
Dave Meyer
Woodstove
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED- _
PERMIT NO.
OWNER AME MVL ADDRESS TY 8 STAT ZIP PHONE
S S
DIRECTIONS
TO JOB SITE __ &2 �fe
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. O V bSM6� e-s
CONTRACTOR
NA MAIL ADDRESS CITY 8 STAITE LICENSE NO. PHONE
USE OF J
BUILDING S
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
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 SO. FT. FIREPLACE ElDETACHED ❑
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.
Ithe
State of Washington and 1 the
aware of the F O F F I C E USE ONLY
ance requirements regulating the work for which
permit is issued and all work done will be in
ormance therewith. PERMANENT SHORELINESSEASONAL ❑ FLOODPLAIN ❑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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
PLIC
Ow o Date ON ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
. ,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH