HomeMy WebLinkAboutBLD7686 Final Wood Stove - BLD Permit / Conditions - 10/29/1980 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 7 r)
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 T E ZIP PHONE
DIRECTIONS ����
TO JOB SITE
LEGAL ( ( SEE ATTACHED SHEET)
DESCR.
CONTRACTOR
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
--
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ /-� PLAN CHECK FEE --� PERMIT FEE �z v
L7—
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE 11
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 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 Ll
Firm
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.
I which this permit is issued and that all work done will ROA ACCESS
be in conformance therewith. M O VEHICLE PERMIT
l A I ATION ACC D PLANS CHECK BY BYPR V SSU CE
;'<ner to .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. O. CASH
Watkin, Mery #7686
10-17-80
Union - between 3rd & 4th Streets - St. up hill towards
fire hall, house on left
Lots 1 through 5 - Block 49, W 1/2 of Lot 6
Wood Stove
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