HomeMy WebLinkAboutBLD83-14764 - BLD Permit / Conditions - 10/5/1983 GATCHELL, Dorothy J. #14764
10-5-83
12-20-4, Parkwood Plat, Lot 24
Yellow/Brown house on corner of Spring Road & Island
Lake Road
Contractor
Mark Tuson
Woodstove
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BUILDING PERMIT APP ICATIDN
MASON COUN Y
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY 8 STA ZIP PHONE
OWNER �7a �7h �T Wd- <�`!d��� nr c"✓ate �'�li�_v� 63;
DIRECTIONS _ / '
TO JOB SITE r C I e f.1 3 K�o v.l�J 0 L4 5'e /� e jp, e 0 f r/�f 6 �C! ✓►lla k
LEGAL _ (❑ SEE ATTACHED SHEET)
DESCR. �,� 7`I" �� Q r� �C��'��'�/ � �i) -S y � q, I Q -- ,
NAME MAIL ADDRESS CITY 8 ST TE LICENSE NO. PHONE
CONTRACTOR ,
USE OF
BUILDING :,'12 P")P tJ' ' W
Class of work: ❑ NEW O ADDITION XALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: �
� v z �` �' + (a /v %t X1 /`x 4"")r tvon
^t�
Valuation of work: $ Le PLAN CHECK FEE PERMIT FEE
Tij 'f
�✓'� —���� h<
SPECIAL CONDITIONS:
BEDROOMS {DECKS_ CARPORT C'' NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE [_:
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED 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 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 l
SEASONAL '-, FLOODPLAIN Ll
Firm E.D. NO. _ S.E.P.A. 11
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEP .
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contra or registration law RCW 18.27, and am aware
of a Mason County ordinance requirements for BUILDING DEPT.
w ich this permit is issued and that all work done will ROAD ACCESS
e in conformance therewith. MOTOR VEHICL I PERMIT
f"
1 s MINY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner -' — Date_� BY
CASH
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.