HomeMy WebLinkAboutCOM2006-00075 2 Propane Tanks and 2 Outlets - COM Permit / Conditions - 6/16/2006 C�
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FORM MUST BE COMPLETED IN INK PERMIT NO.
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar•P.O.Box 186, Shelton,WA 98584
Shelton (360)427-9670•Belfair(360) 275-4467• Elma(360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailing Address lbS 6 £A 3 SEV -r Mailing Address
City T^cjns State V1^ Zip Code 4sy Z % City State Zip Code
Phone Z'3-7 71-440 0t—her Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.4 Exp.
E mail address E Mail Address
Drivers Lic.# :`" M Od'DOB - Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic: Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Soo; so Fire District
Legal Description e-k- L'
Site Address (Please include street name, street number and city) o '
Dir ons to site 'ram ' e- CQ % o
a
Is property within 200'of Saltwater Lake River/Creek Pond
,Wetland--- Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Buildin
Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPC�_ Natural Gas,_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan 5�
Water Heater V Propane Tank Clothes Washer A Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL ,415
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X M:C Date: � ' \(o• O�
Own wners Representative Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department v� ✓1
Occ Group—Type Constr. flit EOF/ nu
Planning Department
Environmental Health Department
FEES
Plumbing& Base Fee Site Inspection
Mechanical &Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES