The URL can be used to link to this page

Home My WebLink AboutMIS95-0499 Gas - MIS Permit / Conditions - 7/13/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.G. Box 186 Shelton, Washington 98584 M 1 !-3 C,' F7 L. L. ^ N F C3 tJ:+ P FE R M 1 T* FOR INSPECTIONS CALL. 427-9B70 MI895-0499 PARCELn420122200122 PLATS DIVi EILKi LOT' : JOB ADDRESS : E 20 BLFV1NS NORTH AD SHEL.TON APPLICANTa LARRY LAUZON 426-9381 OWNERS LARRY LAUZON 426-9381 LEGAL : TO 12�.d Of NN NM P�-��41T NULL & VOW BY EXPIRATION b PROJECT DESCRIPTION : _ Ely NATURAL GAS CONNECTION TO FIREPLACE INSERT DATE PROJECT VOCATION : TURN RIGHT OFF Of HIGHWAY 101 NORTH ST SHELTAN SPRINGS ROAD. ONE BLOCK AND TURN LEFT AT BLEVINS ROAD, FIRST HOUSE" ON RITH . CORNER OF BLEVINS AND SHELTON SPRINGS ROAD . LIGHT GREEN HOUSE . PROJECT NOTES - TYPE AMOUNT BY DATE RECEIPT' WDST $ 25 .00 NJP 07/ 13/95 39619 MCFE $ 6 .00 NJP 07/ 13/95 39619 r i MCBS S 15 .00 NJP 07/ 13/95 39619 !% TOTAL c �46 .00 r ._ t DA_j f: .,..�� ElI I S PANT rev, 04101147 COMPLIANCE TO ATTACHED CONDITIONS IS RE6UIHED 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 I I l� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F' E: FtM 1 T C� C�NCa 1 �IV 1 UiVS Case No . : MIS95-0499 Fort L.ARRY L.AUZON Page : I t ) The owner shall have available on site for Inspection by Mason County , a report Indicating the name and license number of the Installer , the amount of pressure at the time of testing and then , length of test time . This report shall he signed by the person conducti,nb the test . �r 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 `�► Permit No. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner 1_ Phone# 7�G 5F'3 / Site Address City St Zip Directions to Job Site _ 1 �. rnA It Owner Mailing Address City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name 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 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. 1jak 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 L Gas Outlets Woo as ellet Stove Permit Basic Fee 15.00 TOTAL PLUMBING $ _ Permit Basic Fee 15.00 TOTAL MECHANICAL 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 lo+!ateq 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 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 BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE 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: i Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: