HomeMy WebLinkAboutBLD0628 Mechanical - BLD Permit / Conditions - 3/29/1988 PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED ^�
PERMIT NO. a
OWNE NAME D 6 CITY BSTATE ZIP PHONE
t&!'41 6,7r,�t &1, 2!
DIRECTIONS L
TO JOB SITE
LEGAL DESCR. Imo✓
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 F
WATER CLOSETS FORCED-AIR/GRAVITY TYPE FURNACE 6.0
BASINS FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS BOILER/COMPRESSOR 6.00
SHOWERS REPAIR/ALTERATION 6.00
C WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS H EAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL , TOTAL
AP
IALCONDITIONS: 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 1 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 1 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 APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLA BY / BUILDING GROUP F- r
PROVED FOR ISSUANCE PERMIT VALIDATION
�1 CASH CK MO
Shorelines: _ Plying:
Setback: me-chanical:
Special Interior:
conditions: FINAL:
mobile _
&Doke Detector: _
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Food Stove:
TYPE PLUMBING & MECHANICAL
permit No. 0628 No. Floors S9 Ftg
Owner SAM THELER CENTER Tel 275-2881 Date 3-29-88
Address P O Box 167 Belfair Zip
Contractor None
Address 1p
24
legal Description Sam Theler Home Tr
Direction to prof s1 e
Plumbii Mechanical x Sewer Wood Stove
Fireplace Deck Garage carport
Basement Loft other
ADD WATER HEATER & FORCED AIR FURNACE