HomeMy WebLinkAboutBLD80-6147 - BLD Permit / Conditions - 4/2/1980 �DeVaney, Donald R. #6147
4-2-80
Woodland Lot 6
Woodland Manor 5th House on left
Fireplace Insert UL# 31601
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BUILDING PERMIT APPL CATION
MASON COUNT
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED '
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
11)oAiaLalffdeilade I l6 S e oa S Gj 2 - ? 2t0
DIRECTIONS
TO JOB SITE 1—A
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. je-Aid
NAME MAIL ADDRESS CITY&STA LICENSE NO. PHONE
CONTRACTOR i S 7k,�i Ilk Y/-Y�6o
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MO E ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE '
/o
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT CI NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE L7
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIO ING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BEC MES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENT ED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMEI CED.
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 1 1 SHORELINES L
SEASONAL 1 1 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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
PLICATION ACCEPTED BY PLANS CHECK BY �ZYPAPPROVED FO ISSUANCE
Ow _ Date , /li3
PLAN CHECK VALIDATION M.O. CASH ERMIT VALIDATION CK M.O. SH,1
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