HomeMy WebLinkAboutCOM2015-00091 - COM Permit / Conditions - 6/8/2015 (2) 1 '
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MASON COUNTY PERMIT NO. I'l I m9 cl
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
A4 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: \ NAME
MAILING ADDRESS. ., MAILING ADDRESS: ,
CITY: irx STATE: ZIP:n9SN CITY: vaylctellk STATE:—ZIP: �J'&s
PHONE: CELL: PHONE: �-1 6 CELL:
EMAIL: EMAIL : r n -
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): q a(D-0 D-�3 (,oQQ 10
LEGAL DESCRIPTION(ABBREVIATE'D):
SITE ADDRESS: < > CITY:
DIRECTIONS TO SITE ADDRESS.
TYPE OF JOB
NEW ADD ALT�REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1 sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas—)�—Ductless
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan
Water Heater Propane Propane Tank
Clothes Washer Gas Outlets (�
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel ./
Other 1rS� gC
Base Fee ; Base Fee ` C)
TOTAL PLUMBING 1-I .I(} TOTAL MECHANICAL I0r ,'7 Q
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of 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.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
permit/application 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
PE RMI APPLICATIO QF 180 DAYS WILL INVALIDATE THE APPLICATION.
X �
Siignature of Applicant Date
X I t cN�, �, cN.l P h SL Owner/Owners Representativ Contractor
Print Name iT (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE I TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL