HomeMy WebLinkAboutMIS97-0711 - MIS Permit / Conditions - 10/20/1997 — rn :E -o D
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Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 9 584 • 427-9670
PLEASE PRINT
#1 Owner s c �' �r �� Phone# 9 2 L - l 1 lb l
Site Address C . 97-J3 :d a
City �w-IV�0-.
St ('i Zip
Directions to Job Site
le
Owner Mailing Address Jar-i_
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name s-�t co. Contractor Reg. # , �nc�3z3�
Address thle AM Expiration date 1N lei is
City 1� �.`� St w(1 Z p C�(a 1b I Phone 4(1-3 t 31
#3 Parcel No. L - 3v - 0 0 L GO
Legal Description
#4 Use of building Jdsk. Describe work
#5 Type of Job: Newer_Add Alt Repair
Plumbing Fixtures ($3.35 each) Fee Mech nical Fixtures 6.75 each
No._Toilets CIRC E FUEL TYPE: Gas, Electric,
_Bath Basins Heatpl mp,
Bath Tubs No. Units 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 33.00
Permit Basic Fee 16.75 #7- �
TOTAL PLUMBING $ _
Permit Basic Fee 16.75
TO AL MECHANICAL $ 3L. 0
No Basic Fee for Wood, Gas, Pellet Stove
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.