HomeMy WebLinkAboutBLD9805 Wood stove - BLD Permit / Conditions - 1/25/1980 Jones, Donovan A. #9805
1-25-80
20&21-23-1 Tr. 42 E 1/2 NE & W 1/2 NW
1st left off Newkirk Road, go 1 blk turn right
second house on right
Wood Stove
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BUILDING PERMIT APPLICATION
= MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ����
DATE ISSUED L�
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS /
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LEGAL (❑ SEE ATTACHED SHEET)
DESCR. aQ / a,j- / /Z C r✓' -jo- bJ '/:Z /1W
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING Lc)e)ov S7?�VE /i✓S-T/�[c <I Tio nl
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: nn p
h e uLJI,-l.lat(c-
lip
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT LI NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE Ll
ATTACHED I] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED fJ
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 L7 SHORELINES I
SEASONAL I I FLOODPLAIN !1
Firm E.D. NO. S.E.P.A. f 1
By Special Approvals IN OUT YES APPROVED NO
Lic. 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 in conformance therewith. MOTOR VEHICLE PERMIT
Owner
Date./- oZ S/D A ICATION ACCEPTED BY PLANS CHECK BY PROVED FOR S U`NCE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH