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HomeMy WebLinkAboutMIS97-0761 Propane to 5th Wheel - MIS Permit / Conditions - 11/7/1997 fi f us -i � � � -i � •^ � � t�l17roD � O� r.J C i !7 li 0 00 -4 O M m o to -1 -n ESI Cl) = 0 m 0 v I c_ _ _. C- r m o rq M M M. --I IT! -p i n r p — D V fR m y! �► V O -i p -4 0 b o 0 z 3 n rr z as -4 z " Dc O -1 o z m n -+1 D CQ -+ x m 1s � w � o re zz N0 I -< TI z z CMD > -: GJ ca ?7 ?�jCIO R � .► j z © r C; N Q z " — 0 6t '4 '51 D 7C z M. O - 3 0 ` i V -4 �-I s N i A•A 73 ^T 41f J1 07 Ul T K O o Iz m OD CD CC 27 -�i 0 CID Z 'R ! 4 A •a O got !V N z -0 •.t . 0 V r T. = N p m O C)r- ti -! „• Q cf) r 1 n m J Q O TOD ol cz Z. cot) �- cn N Q oo 3 OVIA C- rn • � r A tit 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 by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by U1 ' z0mmzDa —� se -n = •: Q6 — vmzD min w -r m n . n c rnWGnm — s , 0 . — � - - 'Onrri — -a r" 0 -4 'C Z , cnrnG m < G Z = m z m c z0 "* as rt rnm — D - Z 01+ CL a < ell cf! -i r? z � to m zW -imW a < z Q A v) w cD m oz :r In ac a � c - -► c� — � co > -iG3 � t�i — *+ C — m m GO Z C rW wm5) m -- 0 > x � tT — --4z = Q O G O co 8 -� ODD -! C <v .• X VJ rt � rnrmz — us 3 r► � --IIr 0 --q a "" O C CIO r_ rm-rT m Z Z p rt CD 0 � m ✓3w Q O z am T r- m > Cn � - - aAr -ICz D- 0 rt - Z — c� = u MZL� -4 CQ s9 O = — r. — Cn 0 0 00 zz m Z3 l O > 0 rt = OO : G � OO Corr 6 -P —t < m - i� Zs Ozm G - m wn - D 0 Z C D r — 07� - - o zv -0 z0 K $ --lz � 1 A — — Zn < (n IV 7 =r W. - W J7 A M rn 1 � m o D f pc? xsD Mc rM � rn r: -i - z M � rn � � � 1 1 C3 � C7 a � oQ 0 D o Cn rc n r X n r OJo c r ODol C r z z I i (DQJ (� F a op O l � � Q N z I T c S OG C Z) (D z `O Q 00 l OD � I ! r 1� I_ 1 �r 1 1 015617- b`7(a Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner A Phone# 16Q 0Z?-a&a`7 Site Address M Pq City tic v� ' St Zip D �J Directions to Job Site L�e�, ��:� fI `� jQ'04X 'D `���>�1 Owner Mailing Address City L.� St Lo P zip g S Lien/Title Holder Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel No. c,�2 4cQ 5cL Legal Description n #4 Use of building Describe work "9 8!j 4'-� #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. Units Fees _Showers Fu rn BTU _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 1 Gas Outlets � 1 _ Wood, Gas, Pellet Stove 33.00 Permit Basic Fee 16.75 TOTAL PLUMBING $ _ Permit Basic Fee 16.75 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 progress inspection. 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: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. 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 OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Pox 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY- Accepted by: - -- ----- - - - Dale. Receipt No. _�_.-�__Refe�rred Tj�_._. DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: