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55 N CONCRETE MECHANICAL MANUFACTURED HOME m
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Date By Data By m
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FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
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MASON COUNTY FIRE MARSHAL
Mesm Courdy Oft-111426 W Cedar St 42-r'
PO BOX 186 ShONADn.WA 9WA4
(380)427-9670 6d.273 pemits Z61 3 -600--;ka
Mason County Fire Protection System Permit Application
AffmViete SpZheadon will not be McWted
Owner. Phone#: -910a
Mailing Addss: S%j AVI—i CAT -54%r4X) State:
m Site AddrQL�&Uj City:_State:_Zip:
Parcel#: 3Z13b-38- =tPj Legal Description:
Lien/Title Holder:
Address: City: State: Zip:
Contractor:J� "Phone#: L - SU3LA
Addrcsk-300(0�Qq-& ;AVE �60 Cit-
y.AF MU3(J 143 LrState:Lk1A zip:qe6-1a
Contractor Registration Expiration Date:
ad
Building Square Footage(existing&proposed): Is' 2 .—/—P—/
-.1 --a4nce/6j�C-> S;+Z�on
Building Usc&n -P-n i Classification:_Construction Type:
Type of System: Type of Work:
Sprinkler. Wet—Dry— New system:
Standpipe: Wet_Dry Modification:
AFA:
Hood&
Dry Chem:
Wet Chem- v
Fire Pump:_
UL certified Monitoring company: Phone#:
Contractors Bid Price:
L�
Plan Submittal Requirements
Your plan submittal shall include the follow*a:
• Plans shall be on standard 24"x 36"paper,drawn to scale with dimensions and north arrow.
• Site and Floor plan with cross sectional and exterior elevations.
• Location of occupancy and/or area separation walls,partitions,stairway enclosures,concealed spaces,etc.
• Cut sheets and/or references for all new devices.
• Location/description of all new and existing devices.
• Battery calculations.
• Wiring diagrams per floor or zone overlaid on an accurate floor plan.
• Electrical riser diagram showing all zones,circuits,devices,and end—of—line resistors.
• Hydraulic calculations.
• Copy of Contractors bid.
Fees
The permit fee will be assessed based on the submitted contractor bid for the project or a minimum of$168.50.
A plan review fee will be calculated at 65%of the permit fee(minimum$109.50)and is due upon submittal of permit application.
Contractor's Affidavit
I certify that I am a currently re tered contractor in the State of Washington. I am aware of the ordinance requirements regulating
the work for which the . is' and certify that all work will be in compliance with this ordinance. No changes will be made
without first obtaining m the Mason County Fire Marshal.
gy Date: