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Home My WebLink AboutMIS94-0508 Plumbing and Mechanical - MIS Permit / Conditions - 8/4/1994 MASON COUNTY Mason County Bldg. 111 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 A,-,k P/cz ce-, i If I%RN I F t AW 6- h 0 S +i111If I. Ht RN IF I AN6 4 6--b 2 0 h PARIV11101 fig. 11611. 3111 IS IVII PI UNH I MG AND ME C HAN I C A L PER141 f 1 (if J� j Jill"! J011 1130 PARKW1100 MIMIN 1 W1, 14 11* 0 H(.,)?I Oil lil fit It'l I l i11< W, PIRRI 04;il jqt, C 0 P I t A N(-F 10 AI I A C I I I II CI N 1) 1 1 1 N'. I R1 QII I RF D CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up 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 O date by date 6 date by I� I MASON COUNTY Mason County Bldg, III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date date by Set Up by INSULATION date by BG/SLAB Insulation Floors Final date by y date b date b y 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 II I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up 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 I i Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner Bernie R. Lang Phone # 426-6205 Site Address E41 Park Pl. City Shelton St WA Zip 98584 Directions to Job Site Lot #3 0 Parkwood Owner Mailing Address E41 Park P1 . City Shelton St WA Zip 98584 Lien/Title Holder Address City St Zip #2 Contractor Name Olympic Heating & Cooling Contractor Reg. # OLYMPH1 21 OW Address SE 181 Morgan Rd Expiration date 9-1 5-94 City Shelton St WA Zip 98584 Phone 426-9945 #3 Parcel No. 4201 2520003-0 - Legal Description Lot #3 0 Parkwood #4 Use of building Residential Describe work replacefurnace #5 Type of Job: New Add Alt X Repair Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. nits Fees _Showers .j Furn L /00 K BTU r'o.0 U X-Hot Water Htr ,d(� _ 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 o2 Gas Outlets I a.0 Wood, Gas, Pellet Stove 25.00 Permit Basic Fee 15.00 TOTAL PLUMBING sly 0 Permit Basic Fee 15.00 p 'u TOTAL MECHANICAL $: .0 No Basic Fee for Wood, Gas, Pellet Stove 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. NOTE: 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 CONTRAC- 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 ALLWORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH.NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE SHALLBE MADE WITHOUT FIRST OBTAINING APPROVAL FROM WITHOUT ST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPART T. X OWNER X BY DATE DATE `� 9 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: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: