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HomeMy WebLinkAboutBLD18253 Woodstove - BLD Permit / Conditions - 1/17/1986 TypE WOODSTOVE Permit No. 18253 No. Floors Sq .Ftg Owner NUTT, Jim Tel 426-0022 Date 1-17-86 Address L;, 1112 Shelton Zip Contractor none Address _ zip Legal Description , D' Lot W39_- f� Direction to project site � r� G`i • —% Plunbing mechanical Se%;er . Wood Stove x Fireplace Deck Garage Carport Basement Loft Other Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove Plumbing: Mechanical: Interior: Final: 'q q 7-2-c 77777 Mobile Hame: Smoke Detector: Remarks: C' d'la�Ic�sL .4 K BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE `t �o DIRECTIONS TO JOB SITE LEGAL ,e �� / (❑ SEE ATTACHED SHEET) DESCR CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE USE OF BUILDING i Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work, Valuation of work: $ PLAN CHECK FEE PERMIT FEE ` O O SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER I certif that I am a currently registered contractor in WORK IS COMMENCED. the ate of Washington and I am aware of the FOR OFFICE USE ONLY ordi nce requirements regulating the work for which the ermit is issued and all work done will be in cc ormance therewith. PERMANENT ❑ SHORELINES LJ SEASONAL ❑ FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. o Date ZONING CV. O 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 conf rmanc therewith. MOTOR VEHICLE PERMIT Owner Date. APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE ' CLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK. M.O. GASirr CHRISTMASTOWN PRINTING