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CONCRETE MECHANICAL MOBILE HOME
F.z*igs-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set UP
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEFT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
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PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION rPh.
CTOR INFORMATION
Owner Name
Mailing Address dress
City State Zip Code State Zip Code
Phone(_
Other Ph.(_� � Other Ph.(
Lien/Title Holder Contractor Reg. #
Expiration
Address / /
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
F
YPE OF JOB New Add Alt Repair Other Use of Building
cation of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) [Heatpumps
ECHANICAL UNITS Fuel Type: Electric
Type of Fixture No. of Fixtures Fees PG Natural Gas Heatpump
Toilets ype of Unit No. of Units Fees
Bath Basins urnace
Bath Tubs
Showers Vent Fans
Water Heater Propane Tank_ s�
Laundry Wsher Gas Outlets
Wood/Gas/Pellet Stove
Sinks
Dishwasher / Direct Vent?
Other/ Other
Other.. Other ;
Base Fee Base Fee _
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done
obtaining in conformance therewith. No changes shall be made without
approval. first
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT _
Accepted by
Date '� 6L Receipt No.
Submittal Amount Due ,
AEPARTMIVT :REVtE111[ :. - "RPPRl7V:EQ p�Nl�[}::>::
GONRIf1OTVflDES77777
Building Department
Occ Grou Tvnp Constr.
Planning Department
Other
Other
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Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal
Violation Fee TOTAL FEES