HomeMy WebLinkAboutBLD7530 WoodStove - BLD Permit / Conditions - 10/2/1980 Bergquist, Mrs. #7530
10-2-80
out 101 to 106, right turn on 106, go about 8 mi.
(left hand side)
34-22-3 - Tr. 10, Gov. L. 2 & T.L., ex. 10-A
Wood Stove Contractor
Abitz Custom Furnishings
3��3y-u 3—ooic)0
����� �cl�/ss� �
S/
V
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
r-C1
DIRECTIONS
TO JOB SITE f 101 to 166 R; 1} furn O ps,,V-
LEGAL / / (❑ SEE ATTACHE SHEET) //��
DESCR. -a — 3 / U L. , L. G -1`.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR ABITZ CUSTOM FURNISHINGS _Z
USE OF Shelton,WA 90584
BUILDING (206) 426-1928 Home
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
i )GCe
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS ITOTAL SO. 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
c 1ance therewith. PERMANENT L1 SHORELINES I
A` � CUSTOM FURNISHINGS SEASONAL ❑ FLOODPLAIN
Firm Rt. 1. Box 186 Fredson Rd.
Shafton,WA VUbU4 D. NO. S.E.P.A. ❑
By a t-(206).426-11928 Special Approvals IN OUT YES APPROVED NO
Lic. No. R 8`IT-ZC 9 14
M ate 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. O R VEHICLE PERMIT
PP CATION ACCEPTE BY PLANS CHECK BY AP VED FO AN
(er Date B
PICHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH