HomeMy WebLinkAboutBLD7380 Woodstove - BLD Permit / Conditions - 9/10/1980 Reamer, Merle A. #7380
9-10-80
8 miles out Shelton/Matlock Road
Rt. 10, Box 210
Tr. 1 of NW 1/4 18-20-4
Wood Stove Orley - Model # F 243 RS
Serial # 6701
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1
BUILDING PERMIT APPLICATION
* MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 G
DATE ISSUED
PERMIT NO. 7��0
OWNER NA MAIL AD S 1l dl !,I VO 1
DIRECTIONS cn
TO JOB SITE '
LEGAL y (❑ SEE ATTACHED SHEET)
DESCR. �YJ / >�?)?
NAMe MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF J �—
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
SEPARATE RE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED L 08 AIR CONDITIONING
TOTAL SO. 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 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 11
SEASONAL [ I FLOODPLAIN I
Firm
E.D. NO. S.E.P.A. C I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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
APPLICATION ACCEPTED BY PLANS CHECK BY APPROyf D FOR ISSUANCE
.y�QMa}Dy`�� B �
2�1 �/-GC�
'HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. C H