HomeMy WebLinkAboutBLD2004-01966 - BLD Permit / Conditions - 12/30/2004 � CD
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CDCONCRETE MECHANICAL MANUFACTURED HOME
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Foundation Walls Date 1 !g os— y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date bl B y
Date By ' ' Date By
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PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PER IT APPLICATION
426 W.Shelton(360)427-9670�Beellfaiir(3186.
0�275�67�EI' a�(360 482-5269
APPLICANT INFORMATION CONTRAC OR INFORMATION
Owner Contractor I Jlame
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone( ) - Other Ph.L__) Ph. Other Ph.(�
Lien/Title Holder Contractor[Reg. #
Address Expiration
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
TYPE OF JOB New Add Alt U,." Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Baseme t Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpum s
Showers Spot Venl Fan
Water Heater Propane ank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Ga /Pellet Stove
Dishwasher Kitchen EKhaust Hood
Hosebibs Dryer Ve t
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 AUTH RIZED IS NOT COMME p.pays OR
EDIF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYIS AT ANY TIME AFTER
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 prope t r review and
inspection of this project. Acknowledgment of such is by signature below: t
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTO 'S AFFIDAVIT-I certify 9ftLPAnZrr f�t IFr4 Bred 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 in conformance therewith. No changes shall be made without
approval. first obtaining pproval.
X Date X Date
FOR OFFICIAL USE BEYOND HIS POINT
Accepted by Date Submittal Amount Due Receipt No.
. .AEPARTtyEENTPiE RESt[Evv APPROVED DENIE[3. <GONC?fTl(3N C�:[3ES
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
IE✓ E . .;
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