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HomeMy WebLinkAboutBLD80-6984 w.stove - BLD Permit / Conditions - 7/28/1980 Corey, Gary #6984 7-28-80 Rt. 10, Box 664 Up North Cliff to Spring Rd. - past High School, 1st road to the right Woodland Manor - Tract 38 Wood Stove (Orly) In existing fireplace BUILDING- PERMIT APP (CATION MASON COUN Y P.O. Box 186 Shelton, Washing on 98584 426 5593 �� DATE ISSUED / PERMIT NO. C� AME MAIL ADDRESS CITY&SISAELTo"i E ZIP PHONE i� �-• C0R!E 1® 1 ®n f�� 4��, �SFs OWNER DIRECTIONS VP NOR71-1 CLt� TO JOB SITE \C.1i SC}}aot. fA 6T TI L� t LEGAL (❑SEE ATTACHED SHEET) DESCR. ©CJ -a zi NAME MAIL ADDRESS CITY&ST TE LICENSE NO. PHONE CONTRACTOR USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: ! -'f\LL I N•- iZLlljcon q 1 U ULZ (- irty- Gi1LL Valuation of work: $ - PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT ❑ NOTICE BATHROOMS I TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDIT ONING. TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED O ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEF I Certify that I am a currently registered contractor In WORK IS COMN ENCED. 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 ❑ SEASONAL I 1 FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVEro Lic. No. Date ZONING PLANNING DEP OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS /be certify that I am exempt from the requirements of the FIRE MARSHAL ontract or registration law RCW 18.27, and am aware BUILDING DEP f the Mason County ordinance requirements for hich this permit is issued and that all work done will ROAD ACCESS in conformance therewith. M R VEHICL RMIT , - CAT( TED BY PLANS CHECK BY APPROVED FOR ISSUANCE wrier Date, 7- 2�' BY N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH