HomeMy WebLinkAboutBLD12677 Final Fireplace - BLD Permit / Conditions - 3/15/1985 BU44MG PEST APPUC TION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
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OWNER
MAIL ADDRESS CITY a STATE ZIP9�3ia PHONE
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DIRECTIONS
TO JOB SITE � �Y4f-;LEGAL (❑SEE ATTACHED SHEET) � 7 S—
DESCR. N C '5 e- (.L V%S 'fti Y- �i'Q h,Q Y�v�. w r4, 983� sa�,37
NAME. MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
G 0 'go o h GJ A- W-O7 a -C
USE OF
BUILDING
Class of work: rNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ n '5-0
U PLAN CHECK FEE PERMIT FEE ��?
SPECIAL CONDITIONS: 10
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
j ATTACHED ❑ SEPARATE PERMITS ARE,REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT❑ OR AIR CONDITIONING,
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑ THIS PERMIT BE¢OMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZEDISNOTCCMM6INGEDWITHIN180IAYS,ORIF CONSTRUCTION OR WORK IS
SUSPENDED ON ABANDONED FOR A 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 am aware of the ordinance requirements regulating the work for which FOR Of FIOI USE..ONLY
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑'
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.EP.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. �
PUBLIC WORKS
I certify that l 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
ICATION A PTED BY PLANS CHECK BY APPROVE 0�1188UA E
Own Date, 7
PL CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
7 ftIA77
7 7/6/82
Lot I
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NE 50 Bella Vista Drive, Brsmertop
FiftPlace (M"onary) Contractort
4
Mason Contractors
$2,500.00
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