HomeMy WebLinkAboutBLD12118 Woodstove - BLD Permit / Conditions - 3/10/1982 J
Williams; Hazel #12118
(426-6724) 3/10/82
18-20-4, NW 1/4, NE 1/4, SW 1/4.
3rd house on right on the Panhandle Lake Road.
Wood Stove Contractor:
None Listed
$-- Wood Stove Permit
Shorelines:
Setback:
Special Conditions:
Footinq:
Setback:
Foundation Walls:
Frwninq:
Fireplace:
T'?oo� Stove: -f--ze-yz 0 {L C
Plinnhinq:
Mechanical:
Roof: _
Fxterior. :
Interior:_ _
Final: :9^-za-8 z. Oy- c I
Eton !rbrk:
Mobile Home
Pemarks:_ _ r
5-3 2 lV e
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Bc�?186 Shelton, Washington 98584
426-5593 _Q
DATE ISSUED
PERMIT NO.
OWNER NAME r MAIL A D ESS CI TE / ZIP PHONE
t o �v7 goo a6-( �
DIRECTIONS
TO JOB C_ OW 4"�J�4 Z��
Syr l
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. /�— �J tC� S W
CONTRACTOR NAME MAIL ADDRESS 8 STATE LICENSE NO. PHONE
USE OF
BUILDING /
Class of work: ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
i
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS 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 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 i_1 SHORELINES ❑
SEASONAL ❑ FLOODPLAIN I i
Firp E.D. NO. S.E.P.A. ❑
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 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
PLICATION ACCEPT D BY PLANS CHECK BY APPRO�OR ISSUANCE
Owner a-r►✓ Date_ ]� Y J
01
PL N CHECK VALIDATION CK. M.O. CASH P RMIT VALIDATION M.O. CASH