HomeMy WebLinkAboutMIS97-0555 Final Woodstove - MIS Permit / Conditions - 9/15/1997 >
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by I date by
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Permit No.
MASON COUNTY 55
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584.427-9670
PLEASE PRINT#1 Owner Leon- lAar-C" Phone# 36aja15 g6IS
Site Address E, t 31 Ln M ba. d. S
City a- e eta St A4 Zip S
Directions to Job Site r `
a ro —
s rd hna .1n l� t-
Owner Mailing Address tf SZ
City t--a ov 0 i e ri.1 St 4aA Zip
Lien/Title Holder PA Fete ra 1 E rrluta�lpp red n O Y\
Address
City Ve St U)l4 Zip
#2 Contractor Name 0f Contractor Reg. # 11E X/7`CS Z: /140,
Address %d 0 Sf Expiration date
City -A St U) Zip W /4-- Phone 360 377�4-';c-,
#3 Parcel No. 12 1102 - 4-- 7o 9 n
Legal Description -rX 9 a-�' /UE 3E -Tl2 2n�-' SP:4'3V7
#4 Use of building 44-oIYI Describe work i -n a IWa.
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures($3 35 each) Fee Mechanical Fixtures ($6 75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. link Fees
j Showers Fum BTU
i Hot Water Htr — Heatpumps
_Laundry Washer — Vent Systems
_Sinks — Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins — HP
_Dishwasher No. Air Handling Units
_Disposal — cfm#
_Urinals No. Other
_Other _ Gas Outlets
{ ood, as, Pellet Stove 33•00
Permit Basic Fee 16.75 —
j TOTAL PLUMBING $ —
Permit Basic Fee 16.75
I
TOTAL MECHANICAL $
No Basic Fee for Wood,Gas, Pellet Stove
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. Proof of continuation of work is by means of a oroaress inspection.