HomeMy WebLinkAboutBLD18030 Woodstove - BLD Permit / Conditions - 10/4/1985 TYPE WOODSTOVE
Permit No. 18030 No. Floors Sq Ftg
Owner GRAY, Charles M. Tel 427-8944 Date 10-4-R5
Address E 30 Sorinawood Lane Shelton Zip
Contractor None
Address Zip
Legal Description Lot 6 of NE-1/4,NW-1/4 12-20-4
Direction to project site
Plumbing Mechanical Sewer Wood Stove X_
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior: / S
Final:
Mobile Home:
Smoke. Detector:
Remarks:
BUILDING PERMIT APPLICATION4
ao 1 A-- 5 s -- 0000('o MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /D^ / y�
DATE ISSUED `-�
PERMIT NO.
N E MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER ^ 1W213�M. O• 3o A'Al6 6 ���C 1' iL� WA id:S6`l VZ7-8SIL/Li
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. L-'r" (o M/1z aLuj�2 (Y—N W OklIA Cv-' Sk�C110N1 12 rtLNjj.w 41P 20 mcvnA Q)jfJL y ul�fjt
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF n
BUILDING S (N(7L6 �\L`i (LS10`ti1-&-
Class of work: ❑ NEW ❑ ADDITION XALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
M RAC& 145�/z i
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR 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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I am aware of the FOR OFFICE USE ONLY
ordinancethe requirements regulating the work for which
the pormit is issued and all work done will be in
conf rmance therewith. PERMANENT ❑ SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
B Special Approvals IN OUT YES APPROVED NO
Lic. 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. MOTOR VEHICLE PERMIT
Af — APPLI TION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner r Date. w/y `J) B`�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING