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HomeMy WebLinkAboutBLD13019 Final Chimney - BLD Permit / Conditions - 9/16/1982 'BUILDING PERMIT APPLICATION ' MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO.Z 340/ OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE r DIRECTIONS TO JOB SITE LEGAL (❑SEE ATTACHED SHEET) DESCR. CONTRACTOR NAME W1MAIL ADDRESS CITY&STATE / LICENSE NO. PHONE USE OF BUILDING C i' Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION KREPAIR ❑ MOVE ❑ REMOVE Describe work: i � L Valuation of work, $ PLAN CHECK FEE PERMIT FEE is SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED 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 ANYTIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and t 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. ❑ 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 nformance therewith. MOTOR VEHICLE PERMIT V'4�' '/-""X)1 IPLICATION ACC�PT�DBY PLANS CHECK BY APPROVOR ISSUANCE Owne eV/ BY LZ P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH W }d 27Pay E. , #13019 9/16%82 Stetson's Resort Subdivision, Lot 1, Block 4 St. Rt. 1, Box 283, Lilliwaup Chimney Contractor: Self $ Wood StoverPermit . a������®»? . . . - ■ , . | N R R � C » u 4) � e ■ 2 " ., u o u ' J 41 ,. w k ¥ k 41 # cd � 0 0 0 2 a¥ u ■ u ■ � m � ¥ ., ■ ■ ■ ■ � ■ ¥ v A .. ¥ ■ u 41 � © % ■ e � ■ ■ ■ a¥ a k / q J 0 0 N 0 2 2 o R § w m PN P & » 04 _ m z m ( [ ( (