HomeMy WebLinkAboutBLD85-18159 W.STOVE - BLD Permit / Conditions - 11/22/1985 TYPE WOODSTOVE
Permit No. 18159 No. Floors Sq Ftg
Owner KILMER, Tony Tel 426-9529 Date 11-22-85
Address E 23 Cherry Lane Shelton Zip
Contractor
Address Zip
Legal Description Cherry Park Lot 23
Direction to project site
Plumbing Mechanical Sewer Wood Stove X
Fireplace Deck Garage Carport
Basement Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 J
DATE ISSUED ��� ✓ � �
PERMIT NO.
OWNER, NAME MAIL ADDRESS CITY&STATE ZIP PHONE
E as c w -t a
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �t b� �. e c r ` r
NAME MAIL ADDRESS CITY&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 PERMIT FEE Q
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
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 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 M the
of Washington and I aware of the FOR OFFICE USE ONLY
ordi ance requirements regulating the work for which
the,'permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm 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 in conformance therew' h. MOTOR VEHICLE PERMIT
AP (CATION AC EPTE BY PLANS CHECK BY AP ROVED FO ISSUANCE
l J
Owner Date . �2
460
PLAN CHECK VALIDATION CK,. M.O. CASH PERMIT VALIDATION (CK. M.O. CASH
CHRISTMASTOWN PRINTING