HomeMy WebLinkAboutBLD9297 Final Woodstove - BLD Permit / Conditions - 1/15/1981 Rinker, Rhio #9297
' 1-14-81
1/4 mi. on No. Shore from Belfair on Left
Tr. 8, NE SE 29-23-1
Wood Stove
4
I
P { 1
BUILDING"' APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
70
LZ
DIRECTIONS
TO JOB SITE
(❑ SEE ATTACHED SHEET)
LEGAL]ESCR
CONTRACTOR NAME MAIL ADDRESS CITY&STATE f LICENSE NO. PHONE
e-a � f S� _ 164
USE OF
BUILDING
Class of work: )iV NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
tL
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS 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 SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT [ZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME 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.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I /ertfify that I am exempt from the requirements of the FIRE MARSHAL
ontract or registration law RCW 18.27, and am aware BUILDING DEPT. / I g/ J-�
of the Mason County ordinance requirements for
which this permit Is issued and that all work done will D ACCESS
be in conformance therewith. �OT6P VEHICLE PERMIT
///J� �- LIC TION C D BY PLAN,$CHECK BY APPROVED FOR ISSUANCE
0 ner l C�/In.� , (�� �e . Date. /� J BY
PLAN CHECK VALIDATi CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH