HomeMy WebLinkAboutMIS93-00230 Computer Repair Facility - BLD Application - 5/28/1993 Ira
MASON COUNTY BLDG 3 4277798
'�'3 ou 73 � W R
Permit No.
M
MASON COUNTY
W y 281993
PLUMBING/MECHANICAL PERMIT APPLICATION
F WRAL SERWCES 428 W.Cedar/P.O. Box f 86,Shelton,WA 88584.427-8670 Kl�
#1 Owner &A�DI.n C:A&P. X Phone# 20'- 2�U-.j Q0
Site Address jL--.4s7-
City .AL LYN St I,vA, Zip 17FT z t/
Directions to Job Site tUea rN ,,r." t vwt _Cd ,EtT w r / isr 3n2
XAZA QCMA SE.._ /012 FT �rAZyAZ_cti.r. A,
w� TLfR& LEFr O.V rn L'EavEi .Pe.a/�
DLL04/ .�PauEL .Peace rD 2AW dp. -o zep Fr "a w Aewy/ T&A 1
/CZfal1T tl- F ter✓ iLLlkt/EL L�� /iw.rr/ ,vni' rr
w w'j r- -4c=4assrt/r s aAj, t aer rO W&,1,,e taut
Owner Mailing Address 16SAAr C3rw Sit.,r-,( mot 04AY rfsirZ-BA
CitySEAT TLF St / /A_ zip_- 7 Q'
Lien/Titte Holder IIAXOI O CARE51
Address
city �►g�,ttiX+-A St Zip
02 Contractor Name A16AAP ' 00A e J-V TE.Q AIAL L y Contractor Reg.#
Address Expiration date
City St zip
Phone
03 Parcel No. /2 2 /7
Legal Description TiQ 2 of w s Ti? 8 or SP M/41
#A Use of building oEEj-,GE' ,� s�,r,� iZ"AP-AW(.4S'.4—a' Describe work",
bE_su�W Loiyoi�rt�,( It'&once- •
#5 Type of Job:New, Add Alt Repair
Plumbing Fixtu= a h) Eft Mechanical FjXr S(16 a r�h1
No.a Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
,,,_,Bath Tubs W. Unia
EQSa
Showers 6.00 Fum BTU
LHot Water Htr 3.00 _ Heatpumps
Laundry Washer ;00 _ Vent Systems
Sinks 91 DO Spot Vent Fans
_Floor Drains No. Boil rrss/Comrna,ao,rs
.._,Laundry Basins _
HP
,Dishwasher 3,0-10 Air HandI ft Units
)LDisposal - � cfm#
__Urinals Qtbfi:
Other Gas Outlets
_ Wood,Gas, Pellet Stove
Permit Basle Fee 15.00 _ `r
TOTAL PLUMBING
Permit Basic Fee 13.00
TOTAL MECHANICAL $
N0710E: 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 Oter work is commenced. Proof of continuation of work is by means of a progress inspection.
MASON COUNTY BLDG 3 4277798 P. 03
NOTE: if this permit application includes the placement of a fuel tank, heat pump or other unit to be located
' outside of the existing structures, a plot plan MUST be submitted as required below:
Slow following on the site plan below: Lot Dimensions, Existing Structures,
sys
Flood Zones, Wells, Shorelines, Easements, Name of Flanking&Fronting Streetss.Indicate re adi directional by N, S E er Lines,SeptW, eictems,
A1111e: S'41t i4gc�P� Ex frq c fS D� �9
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC.
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND`I AM AWARE OF THE
AWARE QFTHE MASON CQUNTYORDINANCEREQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT 1S ISSUED ANDALL WORK DONE WILL 13E IN
[DATE
WILL BE,INN CONFOR E THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
LSEMADEWITH T STAININGAPPROVA OM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
UILDING DEP DEPARTMENT.
NER X BY
DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Sox 186,Shelton, WA 98584 . 427-9670/1-800-562-5628
Ya : w
FOR OFFICIAL USE ONL ;< d by.`
Date``-...., ,
Receipt No. Referred T
DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
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