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Home My WebLink AboutMIS97-0187 SFR - MIS Application - 4/11/1997 /ram'" 07 7 Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 -427-9670 PLEASE PRINT #1 Owner �"�� .r .,1 'c 44"Ae Z©6 -76 a - / � �e �l 1 �4 Phone# Site Address /U / City Hbo o s pow-' St Zip Directions to Job Site ® -f o e,r?s B�1f- l n/ Owner Mailing Address 9 S tJ City /e- St Zip Lien/Title Holder etc.r Address S a Q.s who City St Zip #2 Contractor Name �,.- ,�,�- 8 �c l-"J Contractor Reg. # Address S�,K� 4s �o„c_. Expiration date City Stig e _ St Zip Phone #3 Parcel No. '1.2,20Aft -.SSA- ®r,o L� Legal Description 4o'f- #4 Use of building a Describe work #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3 35 each) Fee Mechanical Fixtures ($6.75 each) No. Toilets "--CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins He'%pump, Other _Bath Tubs No N.,nits Fees _Showers — Furn BT _Hot Water Htr _ Heatpumjm�, _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 _ Woo ;Gas ellet Stove 33.00 Permit Basic Fee 1G'75 oflTg .mK 2.5C.,gRC 6.75� TOTAL PLUMBING $ Permit Basic Fee 16.75 TOTAL MECHANICAL $ No Basic Fee for Wood, Gas, Pellet St ve :4 NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection.