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HomeMy WebLinkAboutMIS93-0082 Propane - MIS Permit / Conditions - 3/26/1993 r MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M7 `iC: t:: t L AM' tE- on 94114 .L 1 MCti'3's-0013-t + t81,1 i • . ; I,I i1 ; lull t';I!ti�rl . . . . . . . . . . . . . . . w o1 tat 4 Ix L 1 .1 . �' i �! i r� i .' 1 47 Y? � .)i•.I f+i1 i �� t;��11;y( ti LOON I ANCI 10 A l l AC-111 If f:ONO I I I ON'. 40 4j4I I i:t !I 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by djnF" �j<� hj`� �� date by r MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 .l'ltjl ('..'.t? iii� 13.. f it � �1�i'.. i .'F' 1 '! irlr � t � i i'ir .i „f . IrfI;1 .. - if •il 5 ` _f 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 FRAMING by date by date by 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 Permit No.fk,16 MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION PLEASE PRINT J©aNue o�'cElo�� 1 2 � 7J— #1 Owner Phone# 3 Site Address S/ w o6 City 0/V/ 0,q1 St , Zip Directions to Job Site Owner Mailing Address 76.5� wy /�6 City V/y[0V� St W l4 Zip Lien/Title Holder C rNir Address SS/ - ZEE X4,q /© City Ol/'C St tvq - Zip #2 Contractor Name Contractor Reg# Address Expiration date City St Zip Phone #3 Parcel No.0 Legal Description ,3� 40wn W.2� Al. 3 a.yw[" #4 Use of building Describe work *Xi arE 7�9ic/, %o H #5 Type of Job: New Add Alt Repair Plumbing Fixtures Fee No. Fe No. Toilets Vent Systems (Central) Bath Basins Vent Fans (Spot/WHole) Bath Tubs Boilers/Compressors Showers HP .00 Hot Water Htr Air Handling Unit Laundry Washer cfm Sinks Fire Protection System Floor Drains Laundry Basins Dishwasher Disposal Urinals Other Other o Gas Outlets/hookups �_ Permit Basic Fee . 00 Wood/gas/pellet Stove TOTAL PLUMBING $ Other Permit Basic Fee 1_1:2� 00 Mechanical Fixtures TOTAL MECHANICAL $ No. Fuel Types Furn . 00 Heat Pumps .00 If this permit application includes the placement of a fuel tank, a site plan indicating lot dimensions, existing structures, structure setbacks, septic systems, and easements MUST be attached. 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 ANYTIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN 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 WITHOUT FIRST OBTAINING APPROVAL FROM 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: Approved Cond Hold DEPARTMENTAL REVIEW - for office use only Approval Planning: 4- -r/7AK Le_S74 L Bui din Plan Re e10 Occupancy Group: Fire Marshal : FEES Special Conditions : Plumbing Fee Mechanical Fee Other TOTAL Valuation: "Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW r q r U'42 t<;A1 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW