HomeMy WebLinkAboutBLD13026 Final Woodstove - BLD Permit / Conditions - 10/13/1982 Jacob, Robert E. DUPLICATE #13026
426-7532 9/20/82.
Lake Limerick, Lot 114, Division 5
E 231 Peebles Court
Wood Stove/Chimney/Brick Contractor:
None Listed
$__ Wood Stove Permit
Shorelines: AliA
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls: ^�
Framing: '
Fireplace:
Wood Stove: xZ
Plumbing: _
Mechanical: _
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector: ,
O _
Remarks: is t..g Z fro
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 S� aG
DATE ISSUED
PERMIT NO. L.30-26
NAME MAIL ADDRESS ITY&SJAT ZIP PHONE
OWNER o,15AL ./A�o 3G�`�o�3/ /SEE �s ` •,� -S/Jf� iv 9�3 7 yJ�'7�3
DIRECTIONS )
TO JOB SITE p t
LEGAL / G (❑ SEE ATTACHED SHEET)
DESCR. e
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR /
e
USE OF
BUILDING '0�,c
Class of work: 'NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FE
SPECIAL CONDITIONS:
BEDROOMS {DECKS — CARPORT t i NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE
ATTACHED L SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE i 1 IDETACHED
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 LI SHORELINES I j
SEASONAL L; FLOODPLAIN L
Firm 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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be nform ce th with. MOTOR VEHICLE PERMIT
LIGATION ACCEPT B). PLANS CHECK BY APPROULQA�OR ISSUANCE
wne _ Date Y
CHECK VALIDATION CK. M.O. CASH RMIT VALIDATION CK. M.O. CASH"