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Home My WebLink AboutBLD8365 SFR - BLD Application - 8/21/1975 BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATE ISSUED_- J -- PERMIT NO. U '� MAIL ADDRS --- — --ZIP PHONE OWNER, _ AJ.• gSo(o DIRECTION ,� � �O Ott TO JOB SITE RS I S !,�� suAy LULL rO 40011 t�X eJof &xcs MAIL ADDRESS ZIP LEGAL —�'�, (� [E ATTACHED SHEET) DESCR. I`��hO��t _-Rwus - MAIL ADDRES*1— may- P ONE CONTRACTOR �EL / r USE OF MAIL ADDRESS PHONE LICENSE Ilb. BUILDING Class of work: XNEW ❑ADDITION El ALTERATION ❑ REPAIR 0 MOVE ❑REMOVE Describe work ry— C nE �O IV Valuation of work:a /yq/'1 PLAN CHECK FEE PERMIT FEE a 9s p=- SPECIAL CONDITIONS: (/�/ �C APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY JC P�/ Type of Occupancy Const. � Group Division ��._ "/�►rCT// r Size of Bldg. No.of Max. (Total)Sq.Ft.Ij2e Stories Z Occ.Load /(' CONTRACTOR AFFIDAVIT Special Approvals Required Reeelved of Required I Certify that I am a currently registered contractor in the State ONING of Washington and the County of Mason and I am aware of the HEALTH GISPT. ordinance requirements regulating the work for which the permit e Is issued and all work done wl:l be in conformance therewith. 1115A5 DMPaT, Firm By Lic. No. Date OWNERS AFFIDAVIT -4 I certify that I am exempt from the requirements of the contreet or registration law RCW 18.27, and am aware of the Mason N 0 T I C E County ordinance requirements for which this permit is issued and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF Owner DateCa \ 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. / PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.D. CASH SNELTON PRINTING CO. _ MASON COUNTY PLANNING DEPARTMENT ' P.O.Box 186 Shelton,Washington 98584 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. 1. LEGAL 0 CRIPTION Of cation NS NS Building E W side of feet E W from intersection of Sect. Twp. 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 1,750,000 Btu's-$25.00 2. Over 100,000 Btu's-$5.00 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 a permit is required elsewhere in this Code. 5. Repair, alteration or addition to each heating appliance, re 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 -45.00 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-$1.50 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 exhaust, including ducts for such hoo"3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu'"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 p 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 Fee $3.00 ate By Remarks TOTAL Name P&iling address - Number, street, city, and State Zip code Tel. No. Owner G C G Contractor f� Thl1i owner of this buil g and tKe pYWrsigned agree to coniarrrhto all applicable laws of MASON COUNTY t ature of op c t- d s Application date DO NOT WRITE IN THIS SPACE - FOR OFFICE USE )rcftcl by Permit fee Date permit issued Permit number Receipt No. 4 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 2. (I l Contractor , } T e owner of this building an the undersigned agree to conform to all applicable laws of Mason County and State of Washington ature of an&a-ntQ d as Application date • �f �e a LEGAL DESCRIPTIStA Location Of Building NO. PLUMBING FIXTURES FEE WATER CLOSETS p-Q BASINS d^� BATH TUBS SHOWERS Q r0 WATER HEATERS ' AUTO.WASHERS SINKS D"1) FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS (1 T) Connect to City Sewer I DISH WASHER p SPOSAL URINAL (Show Street Names & Property Lines) `3 INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT '�(/ 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.