HomeMy WebLinkAboutBLD11639 Woodstove - BLD Permit / Conditions - 10/26/1981 Eldridge, Robert #11639
10-26-81
32-23-1 Tr. 14 G. L. 1 & NE 1/4 Tax 132 B-2
Fireplace Insert
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Shorelines:
Setback:
Spocial Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:,.f &-,,,, 2,ti/
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
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•� r' BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 q
DATE ISSUED
ozz) PERMIT NO. �� 1
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER .�a7 7s7a7 o7/b
DIRECTIONS / cat 4d�'&-6'cvat�,f r
TO JOB SITE
LEGAL
(❑ SEE ATTAjC�H D SHEET)
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
N
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
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 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 D SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
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 nformance therewith. MOTOR VEHICLE PERMIT
/ f Date AP ICATION ACCEPTED BY PLANS CHECK BY ROVED FOR I SUANCE
Ol�ne - Y
PLAN CHECK VALIDATION CK. M.O. CASH V PERMIT VALIDATION C� K. M.O. CASH