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Date tC 2y j`l B y t.,,07- Date By FINAL INSPECTION Water Line Date By Date By Date By a m m Cif. v CD r o d � 8 o Z3 ' o C 3 N ~ C CD O � O 0 FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186 Shelton,WA 98584 Shelton(360)427-9670 Belfair(360t�175-4467 Elma(360)482-5269 APPLICANT MFORMATION CONTRACTOR INF.,ORMATION Owner i t t i.LL% Contractor Name Mailing Address Mailing Address City � State L�,"ip Code City SI State( Zip Cod Phoneo C Wther Ph.(( Ph.C;( cal )ti Other Ph.(� Lien/Title HolderX3z Contractor Reg. # �L _ r Address Expiration Z SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 digit Tax parcel No. yt; / '7 7 / C?'0C)el, Fire District ga Legal Description 'bi L-42S 171 ((5 ;St_b Z Site Address(Please include street name,street umber and city) t Directions to site ���( (`� L 2xn l l ( _'✓ 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 Repair Other Use of Building Location of Fixtures/Units 1st Flog 2nd Floor Basement 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 Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas OnGasPellet s Kitchen Sinks Woo Stove 3� Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee e2 3.4-D TOTAL PLUMBING TOTAL MECHANICAL q 7./y 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 strucQ�s 116?El V �1 inspection of this project. Acknowledgment of such is by signature below: 1` --V V [.. ID OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currer sQeQas20o4 Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am awaPe7bMe ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permJJ���J�dJ� a conformance therewith. No changes shall be made without first obtaining shall be done in c ance therewith. No change5'sft5�l ma ' approval. first obtaining proval. )( Date X Date FOR OFFI IAL USE BEYO D THIS POINT 6 i � .44 Accepted by Da Submittal Amount Due Receipt N AEP/#RTMEIVTATA R [E:YY. 3tiPPROV D p M1EIE{3. ......CL�13E5 Building Depa ent Occ 3 Type Constr. d S Planning Department Other Other . 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 7 () Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES -7 10