HomeMy WebLinkAboutBLD85-17996 w.stove - BLD Permit / Conditions - 9/26/1985 TYPE WOODSTOVE y
Permit No. 17996 No. Floors Sq Ftg
Owner UNDERDAtiL, Edna G. Tel 426-8976 Date 9�26 85
Address E 10 Park Rd Shelton Zip
Contractor None
Address Zip
Legal Description Parkwood Lot 2
Direction to project site Just off Island Lk. Rd.
Plumbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
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BUILDING PERMIT APP (CATION _
MASON COUN Y
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. /
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
,a de an E /o 0 - Sites W .i-L44 7G
DIRECTIONS I y' J
TO JOB SITE , - Cr-
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. 61V
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMI j
SPECIAL CONDITIONS: ] !�
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED El OR
PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITI NING.
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 OkBANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
,I certify that I am a currently registered contractor in WORK IS COMM NCED.
the State of Washington and I the
aware of the F O OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
. S.E.P.A.
jrY Special Approvals IN OUT YES APPROVED NO
Li . No. Date ZONING
PLANNING DEPT.
HEALTH DEPT.
OWNERS AFFIDAVIT
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. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner BY
PLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING