HomeMy WebLinkAboutBLD81-11554 - BLD Permit / Conditions - 10/9/1981 Schwietering, Ray M.#11554
10/9/81
12-20-4, Tract 8 of NW 1/4 of NW 1/4
East 1481 Shelton Springs oad
Contractor"
Wood Stove Self
$0 Wood Stove Permit
! O
(D O (D![ rt r• G �e O tD r-� O r• s O !D O J ti fD O i�-pi O n G O N w G rt O lC rt w r t rD a o+ r* n cr n
�' f+ r n w rt n
y O w n rr
G rt x TO r- X' r
o 10 w Ot M r m
0
D r, G O cn
0, r
Iv
r rt
i G
�, cn
I
r� BUILDING PERMIT-APP ICATION
MASON COUN9 Y
P.O. Box 186 Shelton, Washing n 98584
426-5593
e r DATE ISSUED ,c
o�l PERMIT NO. ✓J�
N MAIL ADDRESS CITY&ST 'TE / PHONE
OWNER s .e' A-S C7tJ a
DIRECTIONS
TO JOB SITE
F
GAL G (❑ SEE ATTACHED SHEET)
ESCR. � !,� y — �QjJ O f— .{,C.l)�tv ` f
NAME , MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
max"
USE OF
BUILDING � i®13Ncc�
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
10-0/12r-
N04 168 0142a
Valuation of work: $ PLAN CHECK FEE PERMIT FEEy
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SQ. FT. _ GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] ATTACHED ❑ 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 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 11
SEASONAL E-11 FLOODPLAIN i_]
Firm E.D. NO. S.E.P.A. C7
By Special Approvals, IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DE PT.
HEALTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORK
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
be i onf ce�tErewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROO�FOR ISSUANCE
')wnei Date ,
Y
P ti 11W
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
A. V. Schwietering
r f She tun 8 Spring Road t 1481
She ton, Wash. 98584
r
4+HEST 5141EL0
WOOD
STfld
1
i 4
3}