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HomeMy WebLinkAboutMIS97-00615 Repair Broken Line - MIS Permit / Conditions - 9/15/1997 §\ ! ) { (\ \30 } \ \ f 5 § > 72 $ - Q2 \ / ) @ / \ § �m ) \ \ # � [no r \ • , « = c 2 � rm - � ; G 2 r � \ > | { { ® ! 7 \ \ © ; \ 2 § ) ( = . ¥ w c > @ 2 \ } ° m n a = S � 2 f 2 / 0 0 7 , f ! o z 2 / § z 2 < @ % Z57 cl 0 / : g 9 \ } ca Cl) � ® . k - � (D ; ; d co a i = g 2 � 7 § k . » ; 7 , � } / 9 . # k . � CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BGISLAB Insulation Floors Final date by date by date by FRAMING FIRE DEPT. dated by Walls ate by PLUMBING date by BOTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by v r v (C1 1v� a 0 o x a > x — y z o > x m a mo *+ r z0mmz > a m z 'Oz CS r 0 - ,aO < ="J 0 O O D Gn G mmz > mo R 'r y 7carn -imDD gc mz - rnm ; � -0z � m ^ rn - 0n m — rn m - -i — "3 Z ; z z 0 -. z Q70 S -iI a z - - r po - 9 QD � :� -i J) m0 m < O - v > z vi n EI zx m _ m r C1 I 1 � TOT� O to co 0) v 1 O z m a z0 z '• Z c0 z i mm - OCR 0t7+ rOn s- m i ma 7 ^zco omcn -imz � co �n o > - a - a r� 03 - ,n -4 :n ;. m 0 r ! O Smt7 =- . Z 0 - rn , > - w m GO - 0 x — mm rnz •; r 'n gym : ... O T Go :) 0 V1 O Q m - O b n � ' ) � > 000 m 00 • 0 v, r 0m -iO < n ro r O mz - W - O C rn o 7 > wmz0 -i L O - O /� 77 a00 -iaz - W ` J 0 O UA -M rpw OCI O rn r a r o m a 0 0 C = m G a na > m ca ca A r - air- - 0 - P j m - < rnp i cz - > M z m -4 r -+ o ooama0 7 n z azx i 10Q o - . > Dzv o OD Q oc_ < n -a t Gc :n 2 arrnz -! R, 7 -- -f m W Gzm ma) O > f - m r -1 C: z GDr - 0 to - - Z ^ m " z 0 C) mm ^ — z o < - r) 7E -i z - - a) < U: O _ z UI r T � y D + Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670 PLEASE PRINT #1 Owner TG Q a Ze A 6';vc a Phone# 4,�2 7- 9i/97 Site Address o2/02/ City L� St 19-- Zip W'fs< Directions to Job Site oZ/n2 -3 Owner Mailing Address Ste_ City St Zip Lienfritle Holder Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone f#3/ Parcel No. Legal Description #4 Use of building Describe work,t,� �a�c( #5 Type ofgob: N w_Add_Alt_Repair Plumbing Fixtures ($3.35 each) Fe_q Mechanical Fixtures ($6.75 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Unk Fees _Showers _ Furn BTU _Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems Sinks d-Ft,L& _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfrn# _Urinals i4 Other _Other _ Gas Outlets 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 tie 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 BEMADEWITHOUTFIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. OWNE� _ - 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 a r DEPARTMENTAL REVIEW proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: Fire Marshal: