HomeMy WebLinkAboutBLD92-0530 Mechanical - BLD Permit / Conditions - 6/16/1992 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date �`Z� `�2� by _2 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
/ MASON COUNT`_'
BUILDING PERMIT APPLICATION
PLEASE PRINT
�1 Owner LL1,s (J S ;�,l Phone# t a r—
Si to Address U„) . St Zip ci
Owner Address P-0, ov City 1_ St Zip_;
Lien/Title Holder
Address Ci ty St Zip_
Des=ibe Work ��,�A
�Z Contractor Name Contractor Reg#soo�k /l�(cQ
Address (- � o `( aAc.__P, c JAL, a ,,; fi- mq i_-a tion date ;I
Gty I,,m St Zip elk: k 4 Phone y�)-"7 -
#3 If septic is located on project site, include records.
Connect to Septic? Public Wate_T Supply Well
#4 Parcel No. 3 a-- -7 ;
Legal Des=iption
Z5 Building Square Footage: (e_xcst:..:g/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / Garage
,rbecirocros / xbathrooms /
Oche.-' sq f t /
#r6 use of building
m7 Tyne of Job: New Add Al t Repair Demolition
Plumbing Only Mechanical Only . _ Woodstove Re-Roof
Bulkhead Othe_T
#8 P I L=bincr Fixtures Mfechani cal r^fixtures
No. Toilets No. Fuel Types No. Air Easdling Units
Bathtubs Fu_zm < 10OK BTUC.=-ZX' <- 10000 cfm.
Showers F= >- 100K 379 > 10000 cfz7.
Bath basins F= - Floor Other
Sinks Heat Puums Evap Cool e_-s
Dishwasher Vent Systems Hoods
Hot Wa te_T Htr Ven t Fans Domes. In cin.
Laundry Washer Boile-rs/Compressors Comm. . Intro.
Floor Drains 0-3 HP Reloc/Repair
Other 3-15 RP Gas Outlets
15-30 HP Wcodstove
30-50 PEP Other
50 +
?9 _M_QBTLE HOMz' zYr(DR!!! ION
Model Year Make Model
La. Wi d e t Serra: Nc .
�Be-'-ocros �Ba;brooms
TI0 ,any water on or adjacent to properey: sal t•�ater lake
ver pcnd wet_'a-d seascnal r•zr_cf'�
o�`�e .
O'I3E =10'dd nEffvu odoz MV-dc OZ ZNVJI'Iaav
:ao�Q
I
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bII7�T3 30 a=N
s��a�as2g s=aa=anosd=rj pasodc=d
sTTam sms�; o�odaS
sac TasoRS
sf�Man �Q s�o�ccaS a�-:�cr+�S
sao�adL s,
uoz poolz =o:s:aiz70 107
a;�s qo� oz sao t-oaz.• Q =PTd a;Ts ark IIo 5�z o� rao
rAPPL:CANT TO DRAW S= P 3�L0
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,NOTIL : T:_=S PERM: BECOM-_-S NULL AND VOID I. WORK OR CONSTRUCTION
AL"i::OR=ZED IS NOT COM-m-ENCED W77-E N 180 DAYS , OR Ir CONS'i'RUC-ION OR WORK
IS SUSP== OR ABANDON i FOR A ?ER_OD 01 180 DAYS AT AN1,71YEE Ar :zR WOkR,•
OWivaRS AFF�DAVr- - CONTRAC RS AFTZ 7=AVi
i CERTIFY THAT_i _AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFT THAT I AM A CURREN-TLT REGISTERED CONTRACTORCONTRACTORS REGISTRATION LAW RCW 18.Z7 , AND AM AWARE IN THE STATE OF WISHINGTON AND I AM AWARE OF THE
OF THE MASOti COUNTN ORDINANCE REQUIREMENTS FOR WHICN ORDINANCE REQUIREMENTS REGULATING THE WORK FUR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WRK DONE WILL BE 1N THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHaJT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER X BY
IIAl z. DAB
Retu'3 pe =it to: Depa-rtment of General Services
426 W_ Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FOR. OFFCC= USE ONLY: Accepted by:"
Date
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approvst
f I
Planning:
Environmental Health:
Build.tng Plan Review:
Fire 'Marshall :
Other
I