HomeMy WebLinkAboutBLD5845 Wood Stove - BLD Permit / Conditions - 2/13/1980 • ORR, Collin 2-13-80
NW 1/431 NW 1/4, SW 1/4, 534, Township 21,
North 3 W.W.M.
Wood Stove
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. �� �
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/NAM pp MAIL ADDRESS CITY/&�STATE
OWNER
l�N /�f• �/�0 X SiG 7 / ZIP PHONE
DIRECTIONS
TO JOB SITE ,S.rii ti Oro 1 en i7'I�o.✓ Lake �!� ral, Rf on 1'nl'i'e
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Wly/f/iv�i Sw�ly S35! Tl/.vR3Lv yy
NAE MAIL ADDRESS
CONTRACTOR
USE OF
OM CITY&STATE LICENSE NO. PH NE
��O ! �e4 —
BUILDING !l v,1 tCt101A/ 4lQ� — /L A/➢� ptOsr�
Class of work: -13�GNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: <
/n f n ec.,, 6-oc p/ S
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-ht A x4x A 0 o �.
Valuation of work: $ PLAN CHECK FEE a
PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT❑ NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE❑
NO. OF STORIES BASEMENT [IATTACHED L] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ElDETACHED
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 am aware of the
ordinance requirements regulating the work for which FOR OFFICE USE ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENTij SHORELINES
SEASONAL [] FLOODPLAIN L]
Firm
E.D. NO. S.E.P.A. f 1
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEFT.
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
7//f/ to APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner_� Date. J— BY
PLAN CHECK-VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH