HomeMy WebLinkAboutBLD22465 Final Plumbing - BLD Permit / Conditions - 9/6/1988 PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED -
PERMIT NO.C>94)4
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
C .3si E�i k( ) . J .? Z el 0=16
DIRECTIONS
TO JOB SITEi5c. S r 0-O i1
avv I> ad r o % �r Jaco 3'1
LEGAL s�
DESCR. L_p� , LAKE a� .3U '540
CONTRACTOR NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING CABW 5V m 1r &/AZ_
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS f> _ REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS
0,9 HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL
URINA S
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL ct.bO TOTAL
SPECIAL CONDITIONS: 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.
OWNERS AFFIDAVIT:I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND 1 AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OMIAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE Q- Z--!8 �? _ XBY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCT7 PERMIT VALIDATION
BY CASH CK MO
Shorelines:
Setback: Plumbing:
Special Mechanics ;
Conditions: Interior:
FINAL:
Mobile Home:
Smoke Detector:
Footin Remarks:
' g:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
--------------
TYPE PLUMBING
---------------
Permit No. 22465 No. Floors
Owner JACOB, R.K. SQ Ftg
Address 3510 This-a-way Tel Bremerton 830 4677-Date 8�-88
Contractor None Zip ---"
Address
Legal Descri Lot 116
ption Haven Lake Zip
�—
Direction to project site Out Northshore Rd. , right on
Elfendahl Pass Rd., to Haven Lk, tale left on Rhododen-
dron Blvd. Lot has si on tree "Jacob 371"Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck Garage
Basement Loft g Carport
Other
Toilet, shower, sink
i