HomeMy WebLinkAboutBLD11751Fireplace Insert - BLD Permit / Conditions - 11/19/1981 -I,adlub, Raymond #11751
(426-7641) 11/19181-
Lot 26, Springwood
Shelton Springs Roadpast high school going toward 101,
Springwood development. East 71 Springwood.
Fireplace Insert Contractor:
N/A
c__ Wood Stov e Permit
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roo+f:
Exterior:
Interior:
Final:
•Stop Work:
Mobile Home
Re a roc s:
e , BUILDING DERMIT APPLICATION
MA96N COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /9,
SATE ISSUED �./ ��
PERMIT NO. / / 7,
OWNER NAME ADDRESSAILCITY STATE ZIP PHONE
E.-7 r
fJ
CTIONSOB SITE CI
LEGAL fi (� SEE A ED ACH HEET)
DESCR. C—�)
NAMEk]/h MAIL ADD S CITY S STATE LICENSE NO. PHONE
CONTRACTOR
II OF
IILDING
tss of work: ❑ NEW ❑ ADDITION AL ER�ATION ❑ REPAIR ❑ MOVE ❑ REMOVE
scribe work:
' 1
I
Valuation of work: $ 4 PLAN CHECK FEE P MIT FE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HF<TING, VENTILATING
NO. OF STORIES BASEMENT L] OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK fR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR,I'CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOCOF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State ofWashington and I aware of the FOR O F Ff C E USE ONLY
ordinance requirements
the regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT LI SHORELINES I
SEASONAL ( FLOODPLAIN I 1
Firm E.D. NO. S.E.P.A. t I
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 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
p, �('CJddC AP LIGATION ACCEPTED BY PLANS CHECK BY APPRO�R ISSUANCE
Owner ���` Date. '/ e
Pl2V CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.O. C SH