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N d 7 dEFNdi CL .J C) 7 O oC?UW 6 Wm X < U) :40 X Um X QX QWLX c c�D 0 N O m r co m m £ 0 , o }� R / Iq 2 © © f = ( _ CL EE j � K [ � \\)7 § \ ) k ) j ) k u 60 0 0 2 ' z § )e toz % \ e * . ƒiI-L E |« § ; o \ \ { � (r z � ! . § 'D } \ k o ƒ « ;« 04s { f § [ ; & { | 2{ 2 1 E & z § \/-az k \\}=ZO � } oM _ f $ 6 M [ G (3k0 CL a ■ ■ a % b � � # §� .- \ ft ( co E ; 12 _ % » . � � k � W,z k \ am © ( WZ 7\-oa)m �2 § CL a \ | ; { & w 2 ui 0 a) § g . 2 = � 0 § . o = o � . § altkk < § Lua0 22 § z \ � J - m 0) • 0w31om / ) Jan 28 16 02:58p Titus-Will 360-570-3363 p.3 IN EEMENT SAGR AlllNl` Past(3ff a Sox, MTUVT i2sp-o}ymp+a.WA, "' 508-2361 � www.aipJnedt ttiess.com OVA LIC.#ALPtN0L8767Q ' Thf&agteer»e is-a WtItrad.f � construction work to be performed by Alpine Ductless, LLC.(Alpjne Ductless), for:: f (Customer Name).referred to as "OWNER", made this��clay of the Year 77.b.I A,, lnfarn w.: Oat 1 Mine D{rettess #s #icer sed,with the Washington state:Department of tabor and Inddstries -(#ALPINDL876JQj...Aipine Ductless is located in Olympia, WA,with a phone number of 360-529-7567 address and plaarte nuirtb rare: -Z-1 'y S �( The wvk site is locaEet at: Scope Of work: Alpine puctt ssshalt perf0tft:th } fat'lowing work for the OWNER:Alpine Ductless sha#¢ rfoh the a#k g work fbr the OWNER: 6. . .. .' irt.:. .• '.'S:j pa yrnent Terms. The total value f the E< ', p .work l = - txr Fw­ a ran t t 1 f$. RIIebacGe$sof. f�a $ {:t:' .•cart .arc ... 4FFR shall Pay A1134ine the re# arrourirt s ' . ►• � with the balance of xeo :l� o0, n eornpletlori.#�� !i'�+� . f i+ ! / � ,•C`:',.t�y:S.tom::,::..i t: - - .. 12shfrl y+,• f -,Y fsIcer€ain notices beef ,r � - +ire artid the insta�liation of your � � Jan 2B180 ':59p ' Titus-Will 360-570-3383 p.4 Ir Mtn 94 00 Awt aw -00 SW tot a Out-Of 009fft4., M. SO WICIIIIIIIN ft MOM it fig system A40.62 Oft Wilm RMI ft nw pf so. NOW 0.1 NT |^ -'; 28 16 03:03p a Titus—Will 360-570-3363 p.5 I,'... .. -: , - �,,.,,• s P'. y - - :;tom., ':!- E ':: i:: k r1'.... }y. 1. .�: z I.i: .. .y 11 :3". `,e' • .; :f'• y�.x Fq,. i-i'J'w 'b rs• ',' s. :',..i .i-j i� S. ::xi`: - v:d: 5s R "- A .• 4 .. f,C. 4 y: i•} s _ I11 rl•. '•4 i L:t;A .° , ..'.s a, x,wl cotX r, :: %., tart,�y„ r ii '�i, r: :$ -1. 7. _rS.: r %�., �:M1,:,'"i-v ._'. <+, ',�'..,'. ?.ir•.'f�+l-n:.t=N• iY':' <t.,:-�.. fi !, T. 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Jan 28 16 02:57p Titus-Will 360-570-3363 p.1 Aloine Ductless LLC, alpineductoffice@gmail.com 253-381-7235 Date =, b 1 6 To: ��� Fax # 3(-PO- 41-1- 77119 From : b ue,-H?,-as Total number of pages (including cover sheet) _ Comments: khan Lc1 --a 2,3 5 i V� *0 Da 1 :E,2Y a IrA 1�i Ly- �,�> arm� Jan 28 16 02:58p Titus-Will 360-570-3363 /p.2 g"er cob y01 W- MASON COUNTY PERMIT NO. DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.3 Mason County Bldg. 111, 426 West Cedar Street (360)275-4467 Belfair ext.3ECEIVED PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 LJ PLUMBING & MECHANICAL PERMIT APPLICATION JAN 2 8 2016 OWNER INFORMATION: CONTRACTOR INFORMATION: M C C D - NAME: _Sava 1A arv?y NAME: Al t�ue,Hfess L- ! NTAIL.INQG�ADDRESS:_30 NE Larion Late M �II-ING A RESS: -PD BoX 123(o ll CITY: CJe) i 1r STATE: WA ZIP:_",525_ CITY: p�Mp i q STATE: WA ZIP: I g 51) PH0NE3(j?0-273 S 794 CELL: PHONE: 3 job-529-751D7 CELL: EMAIL:_a tPinMUt;tdM r-e P awtad, 66WL EMAIL : &I pi nerlue_tDf fte e e a walI tor+'L 93 L&I REG�a111261 UZI EXP. .1/ I g PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): 1 2 3 3 1 --23• g005 a LEGAL DESCRIPTION(ABBREVIATED):_TyZ,S Q{ (,py'(- l0� 2 LOi- C Of St #4'�y SITE ADDRESS: 5.30 FJ al= LarStfi (truce _ ' _CITY: DIRECTIONS TO SITE ADDRESS: pT ` -UIc1i np r f:w We St o r I N F La r5 r5 l me'_ Rd. TYPE OF JOB NEW-V AID ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— I ST FLOOR—1� 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECILANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas ea Pum p Toilets Type of Unit No.of Units PIM ) Bathroom Sink Furnace Bath Tubs Heatpump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood./GasrPellct Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANIC CW OWNER I BUILDER acknowledges submission of inaccurate information may result in a stop work order or permi nevocatio Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or con, or urt r d are that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This pormitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. 44 SI�Tniituie of Applicant Date X L L L Owner/Owners Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDI'C ONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL