HomeMy WebLinkAboutBLD19697 PLUMB/MECH PERMIT - BLD Application - 12/10/1986 PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY RSTATE ZIP PHONE
OWNER :v.` Iv all T l er (da t'tt er�d1 8' 3 �� 1
DIRECTIONS _
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LEGAL
D ESC R. a
CONTRACTOR NAME MAILAeei%'
CITYBSTATE LICE ENO ZIP e�HONE
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USE OF f
BUILDING DC? �i�rn� 1�'
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP dEENO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6.00
BASINSFLOOR/SUSPENDED FURNACE6.00
BATHTUBS Q BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
3 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS ' VENT.FAN SYS.3.00 PER UNIT
LAU N DRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE l O.00
TOTAL , c� O TOTAL
1�==E
SPECI L CONDIT ONS: "� �- NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED 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 WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DO E WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRSTOBTAINING APPROVALFROM THE BUILDING DEPARTMENT. WITHOU F STOBTAININGAPPROVAL OM THE BUILDINGDEPA.R�TMENT.
X OWNER DATE X BY DATE�2 1��`
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY r
ILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
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