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Home My WebLink AboutBLD27261 Add Laundry Room - BLD Application - 12/17/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAM, MAILADDRESS CITY& TATE ZIP PHONE OWNER AeX 3 j--v ' /►%/� /�tJJf✓ ' �' Z 7 -.2�135 DIRECTIONS / ) TO JOB SITE C Yjt'�l�C7 111)e e)4/�"�sJ(' PARCEL r� 7 LEGAL NUMBERlC. J ,Z3J '` LdGiL DESCR 3 v�.i I`f NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE CONTRACTOR D �, i6l(:77 ��sl' USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK DDLAUk;opq Q is BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL r IX RS AFFIDAVIT CONTRACTORS AFFIDAVIT Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE MENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM BUILDING DEPARTMENT. A �- q ER �� %, DATE X BY DATE D S� SAD FOR OFFICE USt ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION / YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNINGLae FIRE BUILDING PERMIT g D.O.T. BUILDING PLAN CHECK S' SPECIAL CONDITIONS BUILDING GROUP 9- 3 PRE-INSPECTION ML61 C SHORELINE L rr, cr.�� Gas may , �c-r WOODSTOVE PLUMBING , O MECHANICAL O STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHIE,�Y JAPPROWVEANCE PERMIT VALIDATION ef �- TOTALBYCASH CK MO / ' PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE �� itu FF jF f 1 -3-� Lc »t o u—. f+-. �!S"S<j z �`%�=Z S`3-S DIRECTIONS i uE""� L TO JOB SITE * C ! d �'p r cc:� LLB cc-fey S i ae— LEGAL DESCR. CONTRACTOR NAME ! MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING 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 REPAIR lALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER �j [> AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT 3 ee LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL p p 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 ROW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I 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 OBTAINING APPR VAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. 7 A XOWNER e ✓ DATE a XBY DATE_ FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CH K BY BUILDING GROUP rs PPROVE FOR ISS'Q3�lCE PERMIT VALIDATION "'4 Y CASH CK MO