HomeMy WebLinkAboutBLD13332 Final Fireplace Insert - BLD Permit / Conditions - 12/3/1982 BUILDING PERMIT APPLICATION
MASON COUNTY
p P.O. Box 186 Shelton, Washington 98584
1 426-5593
DATE ISSUED
�• PERMIT NO. /JJ
?33-2"
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Borseth E 779OnGrapeview Road Allyn, Tu975-64.91
DIRECTIONS
TO JOB SITE Gra eview Loop Road N. of Allyn j
(❑ SEE ATTACHED SHEET)
LEGAL
DES All n Beach Tracts Section 29 p Townshi 22 Range 1
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Dale Cunningham P.O. Box 1015 Belfair Wa 98528 CHEAPH*19905
USE of 275-2826
BUILDING residence
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
install fireplace insert
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITION .
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS i TOTAL SO. FT. GARAGE ❑
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ ATTACHED ❑ OR AIR CONDITIONING.
TOTAL SQ. 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 erewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO.
By S.E.P.A. ❑
Special Approvals IN OUT YES APPROVED NO
Lic. No.
CH.EAPH*19 5 Date 10/26/82 ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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
LIGATION ACCf If ED BY PLANS CHECK BY APPROVED FOR ISSUANCSE
Vne Date By
Uf�tJ
HECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Borseth, Ronald D. #13332.
275-6451 12/3/82
Allyn Beach Tracts, Tract 2 of Block 1, 29-22-1
I
j E 7790 Grapeview Loop Road
Fireplace Insert Contractor:
Cheap Heat
$ Wood Stove Permit
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