HomeMy WebLinkAboutBLD9827 Finsl Fireplace Insert - BLD Permit / Conditions - 2/25/1982 Boad, Roy A. #9827
(None Liste!l) 2/23/82
Lot 17, River Hill
Fireplace Insert Contractor:
Self
$-- Wood Stove Permit
Shorelines:
Setback:
Special Conditions: _
Footinq: _
Setback:
Foundation walls:
Framinq:
Fireplace:
wood Stover ` (p/��, ems.
Plumbinq: r
Mechanical:
Roof:
Fxterior:
Interior:
Final:
Ston Tkbrk:
Mobile Home
Remarks:
I
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �3 g
DATE ISSUED
PERMIT NO. / 2r
OWNER AME MAIL 0�9ADDRESS CITY&STATE ZIP9ff �j� PHONE
O
DIRECTIONS
TO JOB SITE Q 7 j �j�/� '
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. S
CONTRACTOR ME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
/L C
USE OF
BUILDING
Class of work: ❑ NEW ❑ APGITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
e1:11tj
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
G�
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [] NOTICE
BATHROOMS TOTAL SO. FT. GARAGE [1
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ 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 FORA PERIOD OF 180 DAYS AT ANYTIME 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 I I FLOODPLAIN 11
Firm
E.D. NO. S.E.P.A. I1
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 this permit is issued and that all work done will ROAD ACCESS
be in coy oo/rmance therewith. MOTOR VEHICLE PERMIT
Owner �l r 6� Date APPLICATION ACCEPTED BY PLAN ECK B� AP BYP� ROVED R ISSUANCE
P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH