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HomeMy WebLinkAboutBLD14563 Final Woodstove - BLD Permit / Conditions - 8/18/1983 Shelton Construction, Inc. #14563 - 8-19-83 Lot 26, Rainbow Lake Same Contractor Self Woodstove Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls:— Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior : Interior : Final: 41k- 8/ / $'/ 6r3 4- Stop Work: Mobile Home: Smoke Detector : Remarks: BUILDING' PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 l DATE ISSUE q D t PERMIT NO. L S .2 OWNER ,04M MAIL 7DRESS CITY&STATE ZIP PHONE J / e APZ li' 16a v DIRECTIONS TO JOB SITE LEGAL r ❑ SEE ATTACHED SHEET) //�� /� DESCR. ,`b C �4-/ L[1 /7� /( e I NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR Cam'^7 C USE OF BUILDING Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: A. (y Valuation of work: $ PLAN CHECK FEE PERMIT FEE / SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT [i NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ATTACHED I ; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING. TOTAL SO. FT. FIREPLACE ❑ DETACHED Lj 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 F F I C E USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES a SEASONAL , FLOODPLAIN I_i Firm E.D. NO. S.E.P.A. i By Special Approvals IN OUT YES APPROVED NO li7` �3 Lic. No. C Q ��-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 M;= PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date. Q' PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH