HomeMy WebLinkAboutBLD18285 Final Woodstove - BLD Permit / Conditions - 1/30/1986 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED �O
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Central Evergreen Savings Chehalis Wn. 748-0171
DIRECTIONS
TO JOB SITE Thru Fawn Lake Gate take road to left house on Corner of Foxglove &
LEGAL /� (❑SEE ATTACHED SHEET)
DESCR. p d, ,� StE Crescent.
NAME MAIL ADDRESS CITY&STATE LICENSt NO. PHONE
CONTRACTOR J. W. Foran
USE OF
BUILDING Residence 4/
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION II REPAIR ❑ MOVE ❑ REMOVE
Describe work:
repair and bring wood stove to code.
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
. O0
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. 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
Sha
hat I am a currently registered contractor in WORK IS COMMENCED.
e of Washington and I am aware of the FOR OFFICE USE ONLY
requirements regulating the work for which
it is issued and all work done will be in
ncetherewith.. PERMANENT ❑ SHORELINES ❑0- lec�I� Imne SEASONAL ❑ FLOODPLAIN ❑Fi 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 ' conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner n Date. If hBy�
r ` ,
PLAN CHECK V DATION CK. M.O. C&H PERMIT VALIDATION CK. M.O.
CHRISTMASTOWN PRINTING i
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TYPE WOODSTOVE
Permit No. 19285 ,No. Floors Sq Ftg
Owner CENTRAL'EVERGREEN SAV. Tel 748-0171 Date ,I_30-R6
j Address Chehalis Zip
Contractor J. W. Foran
Address Zip
Iegal Description Fawk Lae div. 1 Lot 4 .
Direction to project site
Thru Fawn Lk. gate, take rd. to left house on
corner o Foxglove ove & Crescent
Pl=ing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft -Other
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