HomeMy WebLinkAboutBLD2013-00875 - BLD Permit / Conditions - 10/1/2013 r
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MASON COUNTY PERMIT NO. L M—
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
t 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
PO Box 279, Shelton, WA 98584 360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMI APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Plo �^ �J�'_.vJ0. i�,�z NAME:*71 c -
MAILING ADDRESS: kO L MAILING A RESS: \��� �
,
CITY:`) r� STATE:� c�.. ZIP:dl � 1�j
q CITY: �, � C STATE: w O,. ZIP:
PHONE: y "1ST CELL: PHONE: -71 CELL:
EMAIL: EMAIL :k-\v-4�e ca., c
L&I REG EXP.," /_3l_/_L_3>
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): -\
LEGAL DESCRIPTION(ABBREVIATED):2�L5\
SITE ADDRESS: \0 C '� Lj�r�t n c— CITY:
DIRECTIONS TO SITE ADDRESS:X)
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—IST FLOOR 2ND FLOOR BAS NT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICA 1,UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Elec is LPG Natural Gas Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpump jam. 1tt>
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pell 1.1 Stove
Dishwasher Kitchen Exhaus t Hood
Hosebibs Dryer Vent
Other Other
Base Fee ase Fee
TOTAL PLUMBING TAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in e stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners I al representative,or contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed. I have obtained 1 ermission from all the necessary parties,including
any easement holder or parties of interest regarding this project.The owner or authorize agent represents that the information provided is
accurate and grants employees of Mason County access to the above described prope and structure(s)for review and inspection.This
permit/application becomes null&void if work or authorized construction is not commen d within 180 days or if construction work is
suspen sd for eriod of 180 days. PROOF OF CONTINUATION OF WORK IS BY M NS OF INSPECTION.INACTIVITY OF THIS
PER T APP CATION CIF 180ADAYS WILL INVALIDATE THE APPLICATION.
Si nature of Applicant Date
X '� (i Owner/ wners Re resen tive/Contractor
Print Name (indicate which L...._-.._-..-
J*VARTMENTt�� APPROVED DATE DENIED b ft TAGS/NO ONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL