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O 0 N CCD N O'N C c O l< � n Z N CD O CD m m � R73 v x c� m o X 0oR (n (0n 3 y mow ,° 3 m o N Ti c (D ;' CL ° -rm -MmO �; m =3 0) X CA M. 0 3 0 (D 3 0 N rn ` .� 0) CD to m n Q N CD (rtD -1 3 CD y .� y o 0 0 C D CD 0)) 3 0 3Z CO) cnnvv3 CD v ° O0c � 3 � ; Q o .� -n = � m ° o c < °< o Z � N 3° m c CD ca a' oCL cn v 3 - �O co m 3 CD CD 0 0 cnm D mO D 5' n O 0 0 �-« n n � �' (o Z Z 3 mC <° o fD O o �< 0 v o CD 3 N � CA a (fl -O 3 n m (D m a � � fD < obi p = =r(n v 0 ° (Q 3 3 N � p00M C Q ° o 0 3 CL O mC) Q- a - C: (D o p X -A Q =r (n fD �c � CD CD �' =' CD m m 3 o � c m CD �: o A'A RECEIVED 40 MASON COUNTY COMMUNITY SERVICES SEP 0 6 2017 Building,Planning,Environmental liath.Corrimunkyl-lealth 615 W. AJder Street Physical and Mailing Address:615 WAIder St,Bldg 8,Shelton,WA 98584 Shelton Phone: (360)427-9670 ext 352 1- Fax (360)427-7796 PLUMBING & MECHANICAL PERMIT APPLICATION Pennim AMN 7- 00k 7 OWNER INFORMATION: CONTRACTOR INFORMATION: J NAME: r)rN- CAN d A, MAILINIPADD SS: b (Scz.-/ ;Ickol BRENNAN HEATING &A/C LLC 1 CITY: L'�:t\ 00 r STATEW C--ZIP: Attu:Jallinle How V PHONE:St,0. 4601 S.yamPL—Seattle,WA 98168 211d PHONE: Phone#206-248-7900 jaimie@bronnanheating.com EMAIL: Contractor Ucense#BRENNHA971P91 EXP:1212912017 ............... PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS:")qa P-: CITY: �-tk DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW ADD ALT W---1-REPAIR OTHER cll:p USE OF BUILDING PLUMBING FIXTURES MECHANICAL UNITS Electric in-wall heaters(no tee) Type of Fixture No.of Fixtures Fuel Type Fees Type of Unit No.of Units el TvDe Fees Toilet(s) Furnace CF)G/LPGJ 192$0 Bathroom Sink(s) Heat Pump [ElG1LPG] 19, 20 Bath Tub(s) 0 Ductless H.P. (EIG/LPG] Shower(s) Spot Vent Fan Water Heater(s) (EIGILPGI Propane Tank L—gal] Clothes Washer(s) PG/LPG] Gas Outlet(s) Kitchen Sink(s) Heat Stove [E/GI LPG/W] Dishwasher(s) Kitchen Exhaust Hood Hose bib(s) Dryer Vent Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee $28.50 Final nanaction FPP Fict uaa— TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.A— o such is by signature below.I declare that I am the owner,owners legal representative,or contractor.I further declare 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.Th"finj"'or au thorized agent represents that the information provided is accurate and grants employees of Mason County access to the above describe props y and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commoced wit in 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPKCTION.INACTIVITY OF T IT APPLICATION OF 180 DAYS WILL INVALIDATE THE ATPLICATION. A— X �� = q I L' / ',W of Applica Date X n Owner/Owners Representative/Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS • Building • Fire Marshal • Permit Tech (OTC permit ontyl V;%'.t LIN 0WIflIC: dev/ Permit number BLD Mechanical Permit Checklist 6 e&o • frame of owner: at a-in � � � r' � i YYl Nrarne of Installer: __---- ----__ • fuel Type? LPG Nat Gas Electric 61 Other • If propane.what is the proposed size of tank(s)? ._.W..._....... s What type of mechanical unit will be installed?(i.e.freestanding stove,fore d oir ftcrna e, etc.) • If the unit is a wood stove,provide: Make Model Year Label Number d What is the use of the structure? (Circle one) Residential Commercial N hermit application for a cotnrnerclal mechanical pertnit 1 e upon satisfactory review by st(ff" Include a 11ncr�airtn showing the location of unit(s)and layout of duct work with the permit application.) RECEIVED 4 Type of structure: (Circle one) Site Built Home Manufactured Horne Other _ � • What room will the mechanical unit be located? 615 W. Alder Street Will the;unit be located in a basement?(circle one) Yes No i How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc:,) a I-low will the:mechanical unit be exhausted to the outside? Applies to appliances using gas,oil or wood fuel. (Indicate B-vent, direct vent, L-vent,etc.l W What year was the:structure constructed?�_..__. Was this struc art Uf a P[A) up<uradc'? _-- a '�Xthat type of controls oovill be installed? (i.e. thermostat, Cis:.) Will the proposed mechanical unit be a heat source:?(c:ircle one:) Yes No 0 Additional in1brmation: I Signature of Applic• t (�,� .,--y- Date ( Typical mechanical fees: Forced air furnace $ 18.30 Heat pump 18.20 Propane.tank 73-00 Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5) Mechanical base. fee 28.50 or$9.00 if base fee was paid on an active building or mechanical permit Freestanding unit, fireplace,pellet stove or wood stove$73.00 Final Inspection fee 73.00