HomeMy WebLinkAboutBLD11083 Earth Stove - BLD Permit / Conditions - 7/24/1981 MEYER, Michael R. #11083
P. 0. Box 21, Shelton 07-24-81
Freeway (Hwy 3) exit to Insels Rd. to Isabella Lake,
2/10th miles, left side of road, 31-19-3, Somers Hwy
Tract lA
Earth Stove Contractor - Bob Johnson
$-0- Wood Stove Permit
� e
\�
I V
�R
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 426-5593 -�� l)
DATE ISSUED �j/
PERMIT NO. /'�" 65 73
N E MAIL ADDRES nn CITY S TE ` GA 21P PHONE
OWNER /� �(Y-. :2 � A) 4 8bb`�
DIRECTIONS
TO JOB SITE �'LIJ
LEGAL / j 7 SEE ATTACHED SHEET) +
DESCR. ( n e�S Z Q
NAME 14 * MAIL ADDRESS Cl &STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: PLAN CHECK FEE PERMIT FEE i^—
SPECIAL CONDITIONS: `J
BEDROOMS I DECKS CARPORT t.i NOTICE
BATHROOMS___ TOTAL SQ. FT.__ GARAGE I I
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] ATTACHED L OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ! I 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 FORA 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 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 I 1
SEASONAL L FLOODPLAIN L
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 c rtify that I am exempt from the requirements of the FIRE MARSHAL
c ntract or registration law RCW 18.27, and am aware BUILDING DEPT.
f the Mason County ordinance requirements for
hic this permit is issue and that all work done will ROAD ACCESS
I
' conformance th ith. MOTOR VEHICLE PERMIT
�L LIC TION! P;TE�ZD PLANS CHECK BY APPROVED FOR ISSUANCE
Vj
Date . BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH