HomeMy WebLinkAboutMIS94-0021 - MIS Permit / Conditions - 1/21/1994 i
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Foundation Walls date % by ��t Set Up
date by l date by
INSULAT N
BG/SLAB Insulation Floors tt,7 Final
date by date fir ' by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
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• MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location _r �• /� �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
� s ter
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
r
all for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department
Date Inspector
T REM H IS TAG
DO NO VE
O
�4[)j In Permit No.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner r I 1 I �� J 1 �� Phone # C�j
Site Address �1 ,
City St Zi
Directions to Job Site 1 i ✓ZC
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1' Yyl C
Owner Mailing Address �_Ct ,
City St Zip
Lien/Title Holder
Address
City St Zip _
#2 Contractor Name _ y- 1 Contractor Reg. #
Address L Expiration date
city. La c C't i (d�Cf- 6�C� _ _ St Zip Phone
#3 Parcel No. ")-C'
Legal Description L I ff rL fR
#4 Use of building , l n c Describe work
Ri.31 4..v
#5 Type of Job: New Add Alt Repair JAPJ 1991
Plumbing Fixtures ($3 each) Fgg Mechanical Fixtures ($6 eachT"ENERAL SERVICES
No._Toilets CIRCLE FUEL TYPE: Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. JLnk E=
_Showers _ Furn BTU (CO.eL
_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 Other
_Other Gas Outlets
Wood, Gas, Pellet Stove
Permit Basic Fee 15.00
TOTAL PLUMBING $'°"�Lei _
Permit Basic Fee 15.00
TOTAL MECHANICAL $ 7_ /
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.
a
uuislae of the existing structures, a plot plan MUST be submitted,as required b ooy.otner unit to be locatE .
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.
J
i
OWNERS AFFIDAVIT
CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CO]FTR
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE
AWARE OFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WIL
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BESHALL BE MADE WITHOUT FIRST OB
TAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BU
THE BUILDING DEPARTMENT.
DEPARTMENT.
)(OWNER_
X BY
)ATE
DATE
3eturn permit to: Department of General Services
26 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by:
Date:
eceipt No.
Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
tanning:
jilding:
'e Marshal: