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Home My WebLink AboutBLD2744 SFR - BLD Application - 8/1/1978 16ILDING• PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 / �/ DATE ISSUED��/_,�/70 PERMIT NO. o� 7AI OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE >? S?! DIRECTIONS G. V,7- vh/ 2T• TO JOB SITE U ` LEGAL (❑ SEE ATTACHED SHEET) DESCR. l' Z - , V CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE Z33 'v G' / sr� ff- USE OF �P'p, 7 BUILDING � � / L,r7+!C = 2 — O v/ —9 2 Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: 1 3 Valuation of work: $ , o PLAN CHECK FEE Q 9 PERMIT FEE/ 0-0 tsd 0 v SPECIAL CONDITIONS: #9� V BEDROOMS DECKS / CARPORT ❑ NOTICE BATHROOMS Z TOTAL SQ. FT.�„• GARAGE El NO. OF STORIES BASEMENT jd' ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TOTAL SQ. FT.j2Y42 FIREPLACE,K DETACHED El THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in co"'n�'f�'ormmancvel therewith. PERMANENT SHORELINES ❑ Firm ,`TrJ /� _�!� SEASONAL ❑ FLOODPLAIN ❑ �y� '> E.D. NO. S.E.P.A. ❑ 29 By— --6.-- Special Approvals IN OUT YES APPROVED NO Lic. No. 2 Loi -.II??-!/l'—+d;j&2, * 2—.:a ZONING PLANNING DEPT. OWNERS AFFIDAVIT EALTH DEP . PUB RKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLIkJS CHECK BY AOVED FOR ISSUANCE Own Date. jJFJ�([�/ B PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON COUNTY PLANNING DEPARTMENT P.O.Box 186 Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. 1• LEGAL DESCRIPTION Location Of �' NS Building N S E W side of feet E W from intersection of Sect. Twp. J Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration and vents, up to.and including 100,000 Btu's-$4.00 compressor over 50 horse power or each absorption system over 2• Over 100,000 Btu's-$5.00 1,750,000 Btu's-$25.00 15. For each air handling unit to and including 10,000 cubic feet 3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00 heater, or recessed wall heater--$4.00 NOTE: This fee shall not apply to an air handling unit which 4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which 5. Repair, alteration or addition to each heating appliance, re- a permit is required elsewhere in this Code. frigeration unit, cooling unit, absorption unit, or evaporative 16. For each air handling unit over 10,000 cubic feet per minute cooling system including installation of controls regulated by -$5.00 this code-44.00 6. Installation or relocation of each boiler or compressor to and 17. For each evaporative cooler other than portable type-$3.00 including 3 horse power-$4.00 18. For each ventilation fan connected to a single duct-$2.00 7. Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating 8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00 9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical 10. Installation or relocation of each absorption system to and exhaust, including ducts for such hood!-$3.00 including 100,000 Btu'9-$4.00 21. For the installation or relocation of each domestic type in- 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00 _$10.00 22. For each appliance or piece of equipment regulated by this 13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which -$15.00 no other fee is listed in this Code-$3.00 FIELD INSPECTION Basic Fes $3.00 Date By Remarks TOTAL 'J` 0-�d Name Mailing address -- Number, street, city, and State Zip code Tel. No. Owner 2. Contractor The owner of this building and the undersigned agree to conform to ail applicable laws of MASON COUNTY Sig=tflicant Address Application date 22 1 -2,33 -- 4?e_ Z 6e6= R • c.� �-3J- DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Appro d by / Permit fee Date permit issued rP�ermit number Receipt No. �,.t-l/�. ..� $ 7 8' 7 SCSI &MELTON PRINTING CO. MASON COUNTY PLANNING DEPARTMENT P.O. BOX 186 Shelton,Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. Name Mailing address—Number,street,,city,and State Zip code Tel.No. Owner ^f i6 z. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington tureu Sign of applicant Address G •is /rC / t Application date ) -31 LEGAL DESCRIPTION Location Of Building NO.. PLUMBING FIXTURES FEE WATER CLOSETS BASINS BATH TUBS _ SHOWERS _ WATER HEATERS j AUTO.WASHERS SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT g �`J SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Approved by Permit fee Date pemit Issued Permit number Receipt No. $ C�9 °� �/ Z 8' 027 s-/51