HomeMy WebLinkAboutBLD0286 Cancelled Chimney - BLD Permit / Conditions - 2/23/1993 TYPE CHIMNEY
Permit No. 02(q6 No. Floors Sq Ftg
Owner RFNNFTT jnnY R_ Tel Date R-21-9n
Address 1FQn R1arkcmith I k Dr Zip
j Contractor
Address Zip
Legal Description PpCtp Fctatpc Tr r;7
Direction to project site IW)n RI Ark gmit I nr
gpnrnx 1 7 mi from Rpar Creek Rd
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Tarage -Za port
Basement soft Other xx
i
Shorelines: plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls: NULL & VOID
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED Z-1-?v
PERMIT NO. CO2f-36
)WNER NAM MAILADDRESS CITYaST ZIP PHONE
�7
TO JOB SITE
PARCEL LEGAL
NUMBER - 7 DESCR ��ST!` E
/ ILADDRES; � Y6STATE LICENSE NO. ZIP PHONE
CONTRACTOR l/ E h VVV
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE C� I
WORK
BEDROOMS DECKS YORN CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SQ.FT. CHECKONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFF AVIT CONTRACTORS AFFIDAVIT
I CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATIO LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMEN FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININGj PROVAL FROM THE BUILDING DffEEPARTMENT. t} APPROVAL FROM THE BUILDING DEPARTMENT.
X�� �� I, :e BY
X O ' DATE DATE
--
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH [.. PUBLIC WORKS FEE
PLANNING ( FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP Nl-)_z PRE-INSPECTION
SHORELINE
WOODSTOVE cc) >/
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APR-qQVJkD'F?'lI#SUANCE PERMIT VALIDATION
-2- �� BY CASH CK MO TOTAL �;�