HomeMy WebLinkAboutBLD7700 Final Woodstove - BLD Permit / Conditions - 10/24/1980r
Cunningham, Dale #7700
• - 10-21-80
Tract 6, NW, SW, 28-23-1
(Spot Realty Bldg, Belfair)
Wood Stove Grizzly
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
/03Z 5 3Z FZ(9E�ERMIT NO.
OWNER N E MAIL ADDRESS CCTV 8 STATE zip PHONE
2 71
DIRECTIONS v� 1f�r 7 5�
TO JOB SITE pL
LEGAL SEE ATTACHED SHE�T)
DESCR. <` ?r— A 3 " �
S af- lee�1 u , � ��
CONTRACTOR
NAME MAIL ADD SS CITY 8 STATE LICENSE NO. PHONE
, 7-1
USE OF
BUILDING
Class of work: ❑ NEW Z4DDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE� 'VC';'
SPECIAL CONDITIONS:
EDROOMS DECKS CARPORT ❑ NOTICE
THROOMS TOTAL SO. FT. GARAGE ❑
NO. OF STORIES BASEMENT ❑ ATTACHED El OR
PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
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 ;_l SHORELINES Li
SEASONAL [_i FLOODPLAIN L]
Firm
E.D. NO. S.E.P.A. I l
By Special Approvals IN OUT YES APPROVED NO
it . 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 i conformanc herewith. M R VEHICLE P MIT
.O
AP ATION ACC P BY PLANS CHECK BY AP O D FOR IS ANCE
r ate. W. B
HECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH