HomeMy WebLinkAboutBLD13273 Fireplace Insert - BLD Permit / Conditions - 11/15/1982 Daley Leroy V. - #13273
426-2780 11/15/82
t f -
Plat of Springwood, Lot 28
E 31 Springwood Driye
Fireplace Insert Contractor:
Andy Tuson
$-- Wood Stove Permit
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:7k
Plumbing:
Mechanical:
Roof:
Exterior• _
Interior:
Final:
Stop lhbr :
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �Is—C?°a'
J /� PERMIT NO. /3��.3
QY V �/
OWNER NAME / MAIL ADDRESS CITY 8 STATE IPS PHONE
c7 Q Y I V Q c- OO((7T 9 LL 4
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �I C�-)
NAME AIL ADD CITY&STATE LICENSE NO. PHONE
CONTRACTOR Q G H ) .�
USE OF ;�� .l
BUILDING
1 a"4��
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
c. Q r dl
Valuation of work: $ PLAN CHECK FEE PERMIT FE% _
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT C NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED i_ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L] OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED Li
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 I
SEASONAL F FLOODPLAIN 1_1
Firm
E.D. NO. S.E.P.A. l7
By Special Approvals IN OUT YES APPROVED 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
of the Mason County ordinance requirements for BUILDING DEPT.
which th' permit is issued and that all work done will ROAD ACCESS
be in o ormance therewith. MOTOR VEHICLE PERMIT
LIGATION ACC PTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . Y
P HECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK. M.O. CASH