HomeMy WebLinkAboutBLD12063 Wood Stove - BLD Permit / Conditions - 2/24/1982 i
B ILWNG APPLICATON
I
M COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. b�oi�o.3
OWNER ME MAtLBRDRESS CITY3 TATE ZIP PHONE
O�W/?X' 2
DIRECTIONS
" TO JOB SITE U /(� aw 2 /S cN �
LEGAL (❑SEE ATTACHED SHEET)
I DESCR. ,Lor 7-/ 4r/D AvrIlAeic ' .f?%
CONTRACTOR iNAME MAIL ADDRESS CITY S STATE LICENSE NO. PHONE
U91C S L 4 N co c .
USE OF '
BUILDINGae
Class of work: ❑ NEW f rADDITiON ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
.<ZsLs'w
Valuation of work: $ PLAN CHECK FEE PERMIT FEE �r
SPECIAL CONDITIONS:
I
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 SQ. 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 FOUR OFFICE U I 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
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 there ith. MOTOR VEHICLE PERMIT
PLICATION ACCEPTFp BY PUNS CHECK BY APPROVED_FOR I UANJ
Owner{ _Date. o
PLY CHECK VALIDATION CK; M.O. CASH PEERMIT VALIDATION CK. M.O. CASH
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