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HomeMy WebLinkAboutBLD2002-01437 Gas Stove - BLD Permit / Conditions - 10/23/2002 FORM OAUST BE COMPLETED IN INK PERMIT NO.: 6 7�J P4EASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 2-5269 Seattle 206 64-6968 APPLICANT INFORMATION CONTRACTOR I NTIO Owner re v �i( C_,Z/C/y Contractor Name Mailing Addre 0, Z MailiWAess _zCity StateUK ZipCode �S6 CityState Zip Code Phone e Other Ph. 6o Y90 �4c� Ph. - _6L Other Ph.c Lien/Title Holder Contractor Reg. # Address o i Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. 21 3 / 13 / 00o20 Fire District Legal Description L Site Address(Please include street name,street number and city) PPa0 Directions to site Lw Is your property within 200'of the following: Body of Vyater(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture f Fixtures LPG_K Natural Gas Heatpump Toilets Type.of Unit No.of Units Fees Bathroom Sink - Furnace Bath Tubs �,/ Heatpumps Showers / Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outl is Kitchen Sinks Wo Gas/ ellet Stove �_ 5�. SID Dishwasher Kitchen haust Hood Hosebibs Dryer Vent Other. Other Base Fee `� Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor R gistration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirement or whic Nthis permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conform therewit No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approv first obtaining approval. X Date C V X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. iw..Onp:....... .............. Building Department Occ Group Type Constr.,,) —�-- Planning Department Other Other ..... ....... :.:::.:::::::.:::::::::::::: :::::. ....:..:. . Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES � r 0 2 ® / & E w o E m - & # ■ t -1 CDm § kok Oq m k g \ ia « o \ > g . 0 c Q m m r > ® § 2 % @ $ § 0 0 m m 0 _ E CL 0 0 2 @ I w % zo 0 ƒ CD \ $ � E2nz 2 0 \ cc $ X � kk CD CA ' § ƒf qQ o0 � � � � m � 2z 0. g > O -n m i ¢ 00m - Q D . . .. 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