HomeMy WebLinkAboutMIS98-0395 - MIS Permit / Conditions - 7/31/1998 - Mji
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by
Gas Piping date b
Foundation Walls �— S % by
Set Up
date
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by PLUMBING date by OTHER date by
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date S-_ � by date by
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Building Permit # M1 MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION .,
NOTICE
Job Location cA"t
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to W t -5---
❑ This is not a complete inspection Department ell-llellwlc
Date !� , .-9cS5 Inspector
DO NOT REMOVE THIS TAG
CORM MUST BE COMPLETED IN INK IV I t s T 6 -- L 3 / S
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 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INF MATION
Owner ? - Contractor N f'C
Mailing Address kO e. Mailing Address
City SW6,f.,%,�Al State W Zip tode `- City State Zip Code
Phone(: i1)_V- - �' d her Ph.(� Ph.(� Other Ph.( �
Lien/Title Holder Mj.e.c ri xr j ilzf, ., 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 cit
erections to sited -- o t -zS`% Ile"C
1' f 141) �, �> S7 cc '
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 Floor 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__)C Heatpump
Toilets Type of Unit No. of Units Fees
Bath Basins Furnace
Bath Tubs Heatpumps
Showers Vent Fans
Water Heater Propane Tank
Laundry Wsher Gas Ou ets
Sinks Wood GasPellet Stove�_ ��'
Dishwasher Direc ent?
Other Other
Other Other -
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL 4a
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 structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered 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 approval.
K-- '
X e - Date 7 f— X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
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Planning Department
Other
Other
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Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
L
e Fee Other
ase Fee Other
et Stove Fee Pre-Paid at Submittal TOTAL FEES