HomeMy WebLinkAboutBLD6092 Woodstove - BLD Permit / Conditions - 3/25/1980 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 3 .r-2 S- Q
DATE ISSUED
--8
PERMIT NO.
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PHO�NEP� 3 CITY&STATE ZI
MAIL ADDRESS E� S
OWNER NAME
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a.7$ .',jr,)T
DIRECTIONS
TO JOB SITE lop 1^1 AA ejC,J� �- �`� AK--(D SEE ATTACHED SHEET)
LEGAL -r> 00 �3Q p — iv S:de .3/
DESCR. � f LICENSE NO. PHONE
N ME
MAIL ADDRESS CITY&STATE
CONTRACTOR
4
USE OF
�REP�AIR
e ..
BUILDING
Class of work: ❑ NE ❑ ADDITION � AL�E—R�ATION ❑ ❑ VE ❑ REMOVE
Describe work: � M.-
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ct, ;'v 5 0
la, 11 O
d 1.A,tMax, , ,3'.c..,
1
• PERMIT FEE/, -�
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Valuation of work: $ PLAN CHECK FEE
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SPECIAL CONDITIONS:
EL:- -
FBATHROOMS__
OMS DECKS .CARPORT (� NOTICE
TOTAL SO. FT. GARAGE L.j SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
ATTACHED Cl OR AIR CONDITIONING.
STORIES BASEMENT [j DETACHED C,So. FT. FIREPLACE I'] THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT SUSPENDEDMOR ABAN MENCED OINED FOR A PERIOD OF 120 DAYS AT THIN 120 DAYS, OR IF I ANY ON OTI ME WORK
WORK IS COMMENCED.
I certify that I am a currently registered contractor in USE ONLY
the State of Washington and I am aware of the �O OFFICE ordinance requirements regulating the work for which
the permit is issued and all work done will be in PERMANENT i_' SHORELINES
conformance therewith. SEASONAL [', FLOODPLAIN
;
E.D. NO. S.E.P.A.
Firm Special Approvals IN OUT YES APPROVED NO
By
ZONING
Lic. No. __-- Date
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL v
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for ROAD ACCESS
which this permit is issued and th 1.t all work done will
be in conformance therewith. MOTO 'VEHICLE PERMIT
C -� AP ION ED Y PLANS CHECK BY AP O D;FO ';ISSU NCE
1' BY '7
Date
3
caner e ,� �/1�,
M.O. CASH
PERMIT VALIDATION CK. M.O. Cf
PLAN CHECK VALIDATION CK.
#6092
McCowan, Maxie L• 3-25-80
Beards Cove North Shore Hiway 300 E.W. Side
t Lot #3, S.E. of State Rt #300
Go Vernmen ►+ e r
Section 31 #'
Installation of wood burning stove
$300.00