HomeMy WebLinkAboutBLD82-12887 - BLD Permit / Conditions - 8/17/1982 Land, B. I. #12887
426-9508 8/17/82
Lot 20, Park-wood Addition
Across from fireball on Island Lake Drive, dark green
house, black trim, chain link fence, E 21 Park Lane
Fireplace Insert Contractor:
Baker
$__ Wood Stove Permit
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BUILDING PERM ITAPPLICATIDN
MASON COUNTY
• P.O. Box 186 'Shelton, Washington 98584
426-5593
DATE ISSUED 6F— LT 4�'
PERMIT NO.
_NAME MAIL ADDRESS CITY&ST E 21P PHONE
OWNER . L. LC'1 11 /.t Par d3 S C� & ,),
DIRECTIONS GrLtS > -'Fr0`(p - :i re hao c n Isis nd , ale. Dlr , Dark 63 r�eY)
TO JOB SITE -� r `.y� y E � -
LEGAL /� `` (❑ SEE ATTACHED SHEET)
DESCR. �, oc 2C�, TcArk V✓UOd t4otUl +1OYa (sake'rW� @440
NAME MAIL ADDRESS CITY&S ATE LICENSE NO. PHONE
CONTRACTOR f3a k e y I C f E ; q1_ r7o
USE OF !� J fv
BUILDING �r. tr'C' �e (
nc
Class of work: ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ M VE ❑ REMOVE
Describe work:
Ffre P nE .
Valuation of work: $ PLAN CHECK FEE PERMIT FEE is
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE Ll
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ IDETACHED ❑
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 FOR
R OFFICE
r^F I^(�E USE ONLY
"
ordinance requirements regulating the work for which r
the permit is issued and all work done will be in
conformance therewith. PERMANENT El SHORELINES El
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals, I 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
PPLI ATION ACC BY PLANS CHECK BY ROVED FO ISSUANCE
Owne Date
P N CHECK VALIDATION CK,. M.O. CASH ' PERMIT VALIDATION CK. M.O. CASH