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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
FRAMING te by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
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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 FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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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 FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Permit N�A
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
PLEASE PRINT
#1 Owner m 16e R U l- P one# Z75 `q 30 (-0
Site Address G -7,40 i w -
City IY St (.C�I1 Zip 9_$�Z-
Directions to Job Site
yz
t7�4
Y
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Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St ziP
#2 Contractor Name Contractor Reg#
Address Expiration date
City St Zip Phone
#3 Parcel No.(a?-n 4f -occJ 0
Legal Description
#4 Use of building 44omP-, Describe work
--Jn54va,lLinq S hrLAY no-nC,me—
#5 Type of Job: New, Add Alt Repair
Plumbing Fixtures Fee No.
No. Toilets Vent Systems (Central)
Bath Basins Vent Fans (Spot/WHole)
Bath Tubs Boilers/Compressors
Showers HP .00
___Not Water Htr Air Handling Unit
Laundry Washer cfm
Sinks Fire Protection System
Floor Drains
Laundry Basins
Dishwasher
Disposal
Urinals Other
Other
Gas Outlets/hookups
Permit Basic Fee .00 Wood/gas/pellet Stove
TOTAL PLUMBING $ Other
Permit Basic Fee .00
Mechanical Fixtures TOTAL MECHANICAL $
No. Fuel Types
Burn .00
Heat Pumps .00
If this permit application includes the placement of a fuel tank, a site plan
indicating lot dimensions, existing structures, structure setbacks, septic
systems, and easements MUST be attached.
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 ANYTIMfE AFTER WORK IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF.THE I CERTIFY THAT I AM A CURRENTLY .REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON' AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186., Shelton, WA 98584 427-9670/1-800-562-5628
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Approved Cond Hold
DEPARTMENTAL REVIEW - for office use only Approval
Planning:
Building Plan Review:
Occupancy Group:
Fire Marshal:
FEES
Special Conditions: Plumbing Fee
Mechanical Fee
Other
TOTAL
Valuation: