HomeMy WebLinkAboutBLD27575 Pellet Stove - BLD Permit / Conditions - 2/27/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: d 3-S=7i,ti1_ --
Mobile cme:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE PELLET STOVE
Permit No. 27575 No. Floors Sq Ftg
Owner NUTT, 11NA Te1�6022 Date 2-27-91
Address E 121 Donega I Wy' el ton Zip
Contractor
Address Zip
Legal Description 1K LlmericKiv 1 lot
Direction to project site Lk Limerickn entrance turnin
L onto Ballantrae take 2n Donegal , house is 2nd on L
rough cedar
P Lm ing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement ---Loft —Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
`r PERMIT NO.
OWNER NA MAIL ADD � CITYSSTATE, , � IP PHONE
E III
DIRECTIONS rnn / n �n� (�(/ n�,�
TO JOB SITE R ( �/ C�c t
an S an PARCEL -
NUMBERto' j6g LEGAL n
DESCR. C ,(�7
CONTRACTOR E MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE ()
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
BEDROOMS DECKS CARP O -1 NOTI
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
6�QOMS TOTAL SQ.FT. RAGE CONDITIONING.
NO.OF STORIES _ SEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPL DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT RELINE -_
SEASONAL
O/TT
AVIT CONTRACTORS AFFIDAVIT
I CI AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RER WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
INE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB ` iVAALL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNEF �' `�� DATE '91��'� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY AP ED FOIR ISS AN E PERMIT VALIDATION W
TOTAL
BY [CASH CK MO