HomeMy WebLinkAboutMIS95-0584 - MIS Permit / Conditions - 8/4/1995 A � i
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Permit No.ffl 6—
MASON COUNTY
PLUMBIN /MECHANICAL PERMIT APPLICATION
425 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner r-'� Phone# i� 7 7-
Site Address to ":j v 1
City S(I C, .. St WA-, Zip I S S S Y
Directions to Job Site s N Or o f S it ti 4=
Owner Mailing Address IQ 6 1 L I
City nk 2 t St L.-)A. ,_Zip Ci 5 2
Lien/Title Holder vk&
Address Sc.'.YN e
CityX,M St Zip
#2 Contractor Name "' Contractor Reg. #ft7.rslc'-66 I'A')'
Address Expiration date 9,6—F&
City St W,4 Zip 'FgS V Phone
#3 Parcel No. 4,'J 3 3 q - (e 0 C 01 C'
Legal Description A Yq- rR e P5 S
#4 Use
�oofbuilding o Describe work luwt,,Nsf���++aK1
#5 Type of Job: New. Add Alt Repair
Plumbing Fixtures ($3 each) _FP
Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gam Electric,
_Bath Basins Heatpump them +.
_Bath Tubs No. link Fees
Showers Furn BTU
Hot Water Htr Heatpumps
_Laundry Washer Vent Systems
_Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal cfm#
Urinals No. Other
Other Gas Outlets
Wood, Gas, Pellet Stove
Permit Basic Fee 15.00 ✓v IL
TOTAL PLUMBING $ (2 •
Permit Basic Fee 15.00
TOTAL MECHANICAL $c:!�43�2
NOTICE: This permit ecom 3s null and void if work or construction authorized is not commenced
within 180 days or if c nstru tion or work is suspended or abandoned for a period of 180 days at any
time after work is commenc d. Proof of continuation of work is by means of a progress inspection.
AL INFORMATION U D
()N REVERSE SIDE voLIC.,HER
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