HomeMy WebLinkAboutBLD13190 Fireplace - BLD Permit / Conditions - 10/25/1982 Pointer, James C, #13190
426-1478 10/25/82
36-21-3, Tract 14 of NE 1/4, NW 1/4
Left at Deer Creek Road, back 1/2 mile to white 2 stor}
house with white fence, E 491 Deer Creek Road
Fireplace Insert Contractor:
None Listed
$__ Wood Stove Permit
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:Xfk:
Stop `n
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
e MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 _
DATE ISSUED ')
PERMIT NO. � �9 y
OWNER NAME MAIL ADDRESS CITY 8 ST T ZIP PHONE
�O t I,rEle 3A M ES
DIRECTIONS
TO JOB SITE d- �1_.
LEGAL (❑ SEE AtTACHED SHEET)
NAME M ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:s�
�-e
Valuation of work: $ PLAN CHECK FEE PERMIT FE�y r Q
SPECIAL CONDITIONS: J
BEDROOMS DECKS CARPORT❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED C SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT G OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE L 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 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 L SHORELINES G
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. L
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. Q MOTOR VEHICLE PERMIT
Owne / Date 1,4 y ICATION ACC TED BY PLANS CHECK BY A OVED FOR IS UANCE
PLAKCHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CA