HomeMy WebLinkAboutBLD10053 Final Woodstove - BLD Permit / Conditions - 2/24/1981 Cotant, James P. #10053
2-13-81
Tr. 14 - N 1/2 NW 1/4 20-23-1 - Belfair
Wood Stove
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• } BUILDING PERMIT APPLICATION
MASON COUNTY
P. ®. Box 400 Shelton, Washinqton 98584
DATE ISSUED �•���� _
1 Z �� 1 Z� /l � PERMIT NO.
-----� ---- MAIL ADDRESS --- _- --ZIP — - PHONE --- — _
OWNER 1 �J/�iL'�£,s CoJ�iL__ r/i O. .6ar /ySi.��►�fiir.�, vir/, iZ?f�Z �36
DIRECTIONS
TO 10B SITE _ __
LEGAL / MAIL ADDRESS ZIP _
( SEE ATTACHED SHEET)
CONTRACTOR MAIL ADDRE55 PHONE
e-9 - — —
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING
Class of work: ❑NEW ❑ADDITION KALTERATION ❑ REPAIR 0 MOVE O REMOVE
Describe work: _
�r a �.r /�y _ •� J i T s/a y e'
Valuation of work;$ PLAN CHECK FEE PERMIT FEE -
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APP OVED OR ISSUANCE BY
Type of Occupancy
Cons..
Z/_/ ✓✓t�,� Const. Group Division
- - --- L Size of Bldg. No.of Max.
(Total)Sq. Ft. Stories Occ.Load
CONTRACTOR AFFIDAVIT Special Approval* Required Received Not Required
I Certify that I am a currently registered contractor in the State IQING
of Washington and the County of Mason and I am aware of the HEALTH DEIST,
ordinance rEquirements regulating the work for which the permit PUALM Wi!5kks
Is issued and all work done wi:l be in conformance therewith. ACAE5 DEpr,
Firm
By
Lic. No. Date
OWNERS AFFIDAVIT —
I certify that I am exempt from the requirements of the contract
or registration law RCW 18.27, and am aware of the Mason
County ordinance requirements for which this permit is issued and that all work done will ')a in conformance therewith. N O T I C E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
p HEATING. VENTILATING OR AIR CONDITIONING.
Owner ��.���� Date �iZ ' O/ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SHEL.TON PRINTING CO.
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