HomeMy WebLinkAboutBLD9382 Wood Stove - BLD Permit / Conditions - 1/19/1981 Allen, Pearl #9328
1-19-81
B/10 mi. no. of Belfair - 2nd driveway on left across from
4-plex apartments
SW SE 20-23-1
Wood Stove
(Purchased from Sears)
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• BUILDING PERMIT APPLICATION
MASON COUNTY
• P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME n / MAIL ADtD S CITY 8 STATE ZIP PHONE
DIRECTIONS g. Nf
TO JOB SITE s� Ifna ll, /
LEGAL ❑ SEE ATTACHED HEET)
DESCR. — /j ,` 3 - 1
NAME MAIL ADDRESS CITY S STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
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Valuation of work: $ PLAN CHECK FEE PERMIT FEE C9 d
SPECIAL CONDITIONS:
BEDROOMS 1 DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. 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 ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
PUBLIC WORKS
/Clontract
rtify that I am exempt from the requirements of the FIRE MARSHAL
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 ' nformance therewith. _ MO OR VEHICLE E MIT
PP ICATION AC BY PLANS CHECK BY APP D FOR S
Owner ' � Date_- BY
i
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH