HomeMy WebLinkAboutMIS94-0061 - MIS Permit / Conditions - 2/10/1994 t
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CONCRETE MECHANICAL MOBILE HOME
Foothgs-Se'back date by Ribbons
date by Gas Piping _ _ I date by
Foundation Walls date �"/5—7 by
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by�
Sties S � �i� Avs%4/1c e— S .9 i�v S 2 —/57-9'f�
- MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location 157
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
s
bo Ard
You are hereby no I led 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
Department ui /
Date Inspector i�)WsXe�]�o5-;—�P77—
D6 MoIrREMOVE TNIS TAG
Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner 'jj I 01ja El kmat 0 Thted-H- Phone # L'4�6 #_/l//y
SiteAddress -
City 516 Z& St Zip
Directions to Job Site L, h,& r-Y-14 11-Z -7-5/d1z"li Zallb ce
All
Ut
Owner Mailing Address
City -St Zip
Lien/Title Holder P'yZil"
Address
City 1 1 St Zip
#2 Contractor Name jh ),I"e Contractor Reg. #
Address Expiration date
City -St— Zip —Phone
#3 Parcel No.
Legal Description
#4 Use of building Describe work
#5 Type of Job: New. Add—Alt—Repair
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 eaQ-hl
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Unk 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
Wood, Gas, Pellet Stove
Permit Basic Fee 15.00
TOTAL PLUMBING
Permit Basic Fee
TOTAL MECHANICAL
NOTICE: This permit becomes null and void if work or construction authorized is not commenced
within 1110 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.
NOT! + 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 CONTRA&
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
SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDIN EPARTMENT. DEPARTMENT.
X OWNER .�(=ic b'(�� L X BY
DATE f < 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 Na. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
i
Building:
Fire Marshal: