HomeMy WebLinkAboutMIS97-0462 - MIS Permit / Conditions - 7/28/1997 CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
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Foundaticn Walls date a 7-!? by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date by
date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 •427-9670
PLEASE PRINT 7 /
#1 Owner G Cc� A /}(SO IV Phone#
Site Address p/l( / 1�M7 -
city 6VV 40111 St Zip
Directions to Job Site
Owner Mailing Address U to 121z, 0,,y
City j ff - 71 0,/ St Zip >`
U@#?Title Holder S
Address ZfD
City St Zip _
#2 Contractor Name Contractor Reg. #
Address Expiration date
City --- - St Zip Phone
#3 Parcel No. O
Legal Description ` �i = D . /VW 4
#4 Use of building / Describe work /]►�_S T/� L_._
1,A 2 c,//Z /l1/ c- i=
#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 Heatpump, Other
_Bath Tubs No. Units Fees
Showers I 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 33.00
Permit Basic Fee 16.75
TOTAL PLUMBING $
Permit Basic Fee 16.75
TOTAL MECHANICAL $
No Basic Fee for Wood, Gas, Pellet Stove
NOTICE: This permit becomes null and void if work r construction authorized is not commenced
within 180 days or if construction or work is suspende or abandoned for a period of 180 days at any
time after work Is commenced. Proof of continuation f work is by means of a oroaress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit:o b$ located
outside of the existing structures, a plot plan MUST be submitted as required below:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
I�
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I.AM AWARE OF THE
AWAREOFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT AI4. WORK , WHICHTHEPERMITIS ISSUED AND ALL WCRK DONE WILL BEIN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALLBE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X'OWNER X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
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eelp tefered fio t? .:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
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