HomeMy WebLinkAboutBLD6870 Wood Stove - BLD Permit / Conditions - 7/14/1980 Core ,, Robert W. #6870
7-14-80
Take the 106 next off 101 to Union, for about 8 8/10 mi.
to Alderbrook - Box 210 Union
Tract 8, Gov. Lot 4, Ex. R/W 35-22-3 i3c�
Wood Stove (insert made by Earth Stove
Contractor
Abitz Custom Furnishings
BUILDING PERMIT APPLICATION
A MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ;'�
DATE ISSUED
�d V e r-t PERMIT NO. v � �
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE /
LEGAL / (❑ SEE ATTACHED SHEET)
DESCR. Tlr ct ��K 24- R VV
/ 'f !Z— 3
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR S - s� I 06-19�6
1 -
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION q 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 ❑
ATTACHED i! SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING i
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED Ll
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 i SHORELINES I
LL SEASONAL f I FLOODPLAIN 11
U
Firm S l E.D. NO. S.E.P.A. I i
By Special Approvals IN OUT YES APPROVED NO
Licrin
No —
-F.2/�/f//Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I am exempt from the requirements of the FIRE MARSHAL
egistration law RCW 18.27, and am aware
on County ordinance requirements for BUILDING DEPT.
ermit is issued and that all work done will ROAD ACCESS
mance therewith. MftR VEHICLE PERMIT
A P ATIO TED BY PLANS CHECK BY QIfRONED FOR ISSUANCE
Owner Date. Y
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH