HomeMy WebLinkAboutBLD18395 Chimney Reline - BLD Permit / Conditions - 3/14/1986 TYPE CHIrNEY RELINE
Permit No. 18395 No. Floors Sq Ftg _ -
Owner KIRK, William Te1426-8246 Date 3-14-86
Address W 7620 Shelton Matlock Rd. SheltoZip
Contractor Tuson Masonry
Address Shelton Zip
( Legal Description Tr. 5 NW=1/4,NE-1/4 18-20-4
( Direction to project site 4th house on rt. past Dayton
Store. Long Black House
Plumbing Mechanical Sewer Stove
Fireplace Deck =arage —Carport
' Basement —Loft Other
Shorelines: iy4-
Setback:
Special n itions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanics :
Interior:
Final: = .F
Mobile Hem:'
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY '
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED —
T/C�'k � ,ERMITNO.
OWNER r MAIL ADDRESS CITY TATE ZIP PHONE
DIRECTIONS
TO JOB SITE u S r u v Sri Xj u
LEGAL (❑ SEE ATTACH SHEET)
DESCR. 0
7�5
MAIL ADDRESS CITY SATE LICENSE NO. PHONE
CONTRACTOR
t
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
FYI �t° rIle—
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT [i NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE []
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT E] ATTACHED i OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE G 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 I j SHORELINES
SEASONAL 17 FLOODPLAIN 1 1
Fir5 617
E.D. NO. S.E.P.A. [_1
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
APPLICATION ACCEPTED BY PLANS CHECK BY A PROVE OR ISSUAN
Owner __ Date .
'1 L
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. LtASH