HomeMy WebLinkAboutBLD13163 Fireplace Insert - BLD Permit / Conditions - 10/18/1998 fair, R. H. flu"
426-3198 10/18/82
Talker Park Addition, Lot 2, Block 3
2206 Walker Park Road
Fireplace Insert ' Conttactor:
None
$_- Wood Stove Pamit
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. ' 3
OWNER E MAIL ADDRESS CITY 6 STATE ZIP PHONE
jA 9 3
DIRECTI S S r/ rt. 4 j S p'y
TO JOB SITE
LEGAL � �/�� (0 SEE ATTACHED SHEET)
DESCR. 3
NAME MAIL ADDRESS CITY S STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW 0 AD TION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMI `FEL
3' o
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT❑ OR AIR CONDITIONING.
TOTAL SO. 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 therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPR VIED NO
Lic. No. 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 i onfor ance rewith. MOTOR VEHICLE PERMIT
AP ICATION ACCEPTE BY PLANS CHECK BY APPROVED FOR ISSUANCE
Ow -Date, L - BY
PL ECK VALIDATION CK. M.O. CASH
P MIT VALIDATION CK. M.O. CASH
7 „T, .