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Home My WebLink AboutBLD12159 Final Alteration - BLD Permit / Conditions - 7/7/1982 BUDDING PERMIT APPLICATION �- MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 g, g DATE ISSUED PERMIT NO. OWNER NA E �1 MAI DDRESS CITY&STATj ZIP PHONE DIRECTIONS TO JOB SITE LEGAL (�, (❑] SEE ATTACHED SHEET) DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR n 1 C 0 7 = .- I O .as, C- 0_ 1 USE OF � BUILDING Class of work: ❑ NEW ❑ ADDITION 9ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work:/] Q r % - Q O 'Try cJ� �-�1 CC- `^^ ��+5 �&A �- �� A Ca P.._ �to 3fl�rl� v 44 Valuation of work: $ 6 PLAN CHECK FEE PERMIT F //V �+ V SPECIAL CONDITIONS: BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SO. FT. GARAGE ❑ ATTACHED ElSEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING. TOTAL SC FT. FIREPLACE ❑ I DETACHED ❑ THIS PERMIT BECOMES NULL AND VQID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED 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 I certify that I am a currently' registered contractor In WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT ❑ SHORELINES ❑ SEASONAL ❑ FLOODPLAIN ❑ Fir 720 � '' n E.D. NO. S.E.P.A. ❑ By Special Approvals IN OUT YES APPROVED NO Lic. No. ZO ZZ Date ! ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEP of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT A CATION AC D.BY PLANS ECK BY APPR VIIED FOR ISSUANCE Owner Date. BY �Z HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH MASON COUNTY PLANNING DEPARTMENT R � � P.O.Box 186 Shelton,Washington 98684 MECHANICAL PERMIT APPLICATION IMPORTANT-Complete ALL items.Mark boxes where applicable. 1. LEGAL D SCRIPTION Location O �G L( r 1p-r rJ / Of N s Building N s E W side of feet E W from intersection of Sect. Twp. Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration and vents, up to.and including 100,000 Btu's-$4.00 compressor over 50 horse power or each absorption system over 1,750,000 Btu's---$25.00 2. Over 100,000 Btu's-$5.00 "--- 15. For each air handling unit to and including 10,000 cubic feet 3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00 heater, or recessed wall heater-$4.00 NOTE: This fee shall not apply to an air handling unit which 4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which a permit is required elsewhere in this Code. 5. Repair, alteration or addition to each heating appliance, re- frigeration unit, cooling unit, absorption unit, or evaporative 16. For.each air handling unit over 10,000 cubic feet per minute cooling system including installation of controls regulated by -$5.00 this code-$4.00 6. Installation or relocation of each boiler or compressor to and 17. For each evaporative cooler other than portable type-$3.00 including 3 horse power--$4.00 18. For each ventilation fan connected to a single duct-$2.00 7. Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating 8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00 9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical exhaust, including ducts for such hoo"3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu'"4.00 21. For the installation or relocation of each domestic type in- 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerator"20.00 -410.00 22. For each appliance or piece of equipment regulated by this 13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which -$15.00 no other fee is listed in this Code-43.00 FIELD INSPECTION Basic Fee $3.00 Date By Remarks TOTAL 3 7�,o O Name Mailing address - Number, street, city, and State Zip code Tel. No. t.vvner C.'�•� 1 K. r t C CT 10 91 �/ y- Contractor CD1 4 CO'Z r- 0Q7 2 3 Jd f L TAA f S S-6 i ac -le-, 3) ow of this buildin antl the undersigned agree to conform to all applicable laws of MASON COUNTY Signature of pp tt / Address Application date '' of a ,is DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Approved by y Permit fee Date permit issued Permit number Receipt No. AJNO Co. 4 ' #12159 Hood Canal State Bank 3/18/82 (426-5581) Lots 8, 9 & 10, Block 9, Mountain View Addition 121 West "K" Street, Shelton contractor: Alteration prodevco, INc. 500 Sq. Feet $15,000.00 a aP� `� Or cn U GO r•'"d�W N N rh � n rt r.N N E WR n r 7r r. c�n � pO '- � rtW �q p 7C x � n � r Eq 4 ....:.- ��. .;.:.... ...:... .e�mr III^.....,..... ............ ..............m.., ,....�...,.