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HomeMy WebLinkAboutBLD11730 Fireplace - BLD Permit / Conditions - 11/17/1981 McKelvey, Sherm #11730 (898-3692) 11/17/81 35-22-3, W 60' of E 330' south of highway & W 50' N of highway of Govt. Lot 3 and Tidelands. East 9110 Highway 106, Union Fireplace Insert Contractor: Woodstove Warehouse $-- Wood Stove Permit Shorelines: Setback: Special Conditions: ��_ ... noting: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: �--- Plumbing: Mechanical: Roof: Exterior: Interior: Final: Stop Work: Mobile Home Remarks: BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426 5593 /1_ 1 7_U/ DATE ISSUED PERMIT NO. //'73 V OWNER NgqME ��� KJAIL ADDRESS CITY&STATE ZIP HONE h'u� DIRECTIONS c ©(e ZK s;p TO JOB SITE [ - LEGAL C �/ / [ (❑ SEE ATT CHED SHEET) DESCR. cSPG .�7 ����� v�/ U7 ���Q uu0/� D,� �• ` O/ F?d/A NAME MAIL ADDRESS CITY&STATE LlIE71 NO. CONTRACTOR �011 L� USE OF BUILDING , 4a Class of work: ❑ NEW ❑ ADDITION ,ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: w Valuation of work: $ ��j PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT C_j NOTICE BATHROOMS TOTAL SQ. FT. GARAGE ❑ ATTACHED L7 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE F] 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 APPROVED NO Lic. No._ Da)e 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 Mason County ordinance requirements for BUILDING DEPT. this permit is issued and that all work done will ROAD ACCESS e i cc fo ith. MOTOR VEHICLE PERMIT / AP ICATION ACCEPTED.BY PLANS CHECK BY APPROV FOR ISSUANCE Owe A Date I � � e P V, CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK. M.O. CASH