HomeMy WebLinkAboutBLD9169 Wood Stove - BLD Permit / Conditions - 12/8/1980 Nelson, Tim #9169
12-8-80
Colter Creek Road - Nelson - Rathbun Sign, turn right -
Blue House
N 1/2 S 1/2 NW 1/4, E. of W 800' 9-22-1
Wood Stove
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER 2:2 NA 1 MAIL ADDRESS S SS TATE ZIP PHONE
-N - U
�2
DIRECTIONS /�
Ang
TO JOB SITE
) SEE ATTACHED
j�iEET)
DESCR. S/a
CONTRACTOR NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: 04
Valuation of work: $ V PLAN CHECK FEE PERMIT FEE �--d
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS I TOTAL SQ. 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 OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT 'i SHORELINES I
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. [.1
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 o registration law RCW 18.27, and am aware BUILDING DEPT.
of th ason County ordinance requirements for
wh' this permit is issued and that all work done will R AD ACCESS
e in conformance therewith. �s (J OR VEHIC E E IT
P ICATION ACCEP E BY PLANS CHECK BY APPROVED FOR ISSUANCE
�er Date. O V BY
A9
PLAN CH CK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH