Loading...
HomeMy WebLinkAboutMIS98-0136 - MIS Permit / Conditions - 3/20/1998 7cs 77 TI 5 O Q x n 00 0- :3 � . Cl) � z cn N) 10 Q- OC) 01 00 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date b Ribbons date b Y Y Gas Piping date b Foundation Walls date by Set Up date by INSULATION date b BG/SLAB Insulation Y date by Floors Final FRAMING date_ by date by date by Walls FIRE DEPT. PLUMBING date by date by Groundwork Attic OTHER date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date #A by A 6, date by I I 71 r < w. 7:1 00 ol C :37 JI, 10 QL OlOD C) 00 Z Z il-, CONCRETE MECHANICAL MOBILE HOME Footings-Se&�ack date by Ribbons data . by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by FRAMING date by date by date b Walls FIRE DEPT. y PLUMBING date by date by Groundwork Attic OTHER date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by • _G---_t r Permit No. ? MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98,084 • 427-9670 PLEASE PRINT #1 Owner �� 1�1� �l� T SSO d/� Phone# Site Address — City LTn i/� St Zip Directions to Job Site_�iY� ���I"i Z4 �Z "a n yI 4k Pe h r12015iS Owner Mailing Address 57l . ✓I City �) St Zip Lien/Title Holder Address City_ St Zip #2 Contractor Name 1?joSC 0 r 15 Contractor Reg. # Address Expiration date City St Zlio Phone #3 Parcel No. 42-0 ©� Legal Description , . #4 Use f building Describe work #5 Type of Job: New Add Alt Repair Plumbing Fixtures (�$3.45 each Fee Mech ical Fixtures 7.00 each No._Toilets CIRCL FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _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 Wo , Gas, ellet Stove 34.00 Permit Basic Fee 17.25 - TOTAL PLUMBING $ Perm4 Basic Fee 17.25 TOTAL MECHANICAL $ 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. NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be 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. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I 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 ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN 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 FOR OFFICIAL USE ONLY: Accepted by: ! Date: Receipt No. Referred To DEPARTMENTAL REVIEW Proposal Proposal FOR OFFICIAL USE ONLY Approved Denied Planning: Building: 3 f _OAS Fire Marshal: