HomeMy WebLinkAboutBLD2012-00445 Final Heat Pump - BLD Permit / Conditions - 6/26/2012 i
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MASON COUNTY PERMIT NO.�I�
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
n the web www.co.mason.wa.us
APPLICANT IN O ATIOD CONTRACTOR I ORM TI N
Owner Company Name QV
Mai dd es Mailing Address
City State Zip Code City State Zip Code
1pho4n 2 Other Ph� Phone �- - T-333 other Ph.
Lien/Title Holder Contractor Reg.# Ex .
E mail address E Mail Address
Drivers Lie.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION- Connect to New Septi Se tin Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel N — Fire District
Legal Description
Site Address(Ple a metidestreet na ,str t be d tion to 'te L I CULA
Is property within 200'of er Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs J 15%
TYPE OF JOB -New_Add_Alt_Repair_Other Use of Building
Location of Fixtures/Units- 1St Floors 2nd Floor t Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas_Heat Pump_
Toilets Type of Unit No.of Units
Bathroom Sink Fees
Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
Permit aril to do the work as proposed in the application.I declare that I have obtained the Permission from all the
required from any easement holder or any other party in interest regarding this application�work the ap i parties.If permission is
perm m them to apply for is permit and conduct the work Proposed in the application,I have obtained
Proposed. The owner or agent on owners behalf,represents that the information
P is rate and grartts Ioyees of Mason County access to the above described property and stricture for review and inspection.
P NATION ORK IS M S OF A PROGRESS INSPE N. t
X Date: ' 2� -/Z
Owner/Owners epresen tive/Contractor (indicate which one)
FOR OFFICIAL USE BEYOTIp,TH S P INT
Accepted b lanning Pd Ck# Date UJ Gf0 Id Pd Receipt No.
DEPARTM11NTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Typo Constr.—
Planning Department
Environmental Health Department
FEES
Plumbing&Base Fee Site Inspection
Mechanical&Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
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