HomeMy WebLinkAboutBLD2016-00685 Mechanical Pool Dehumidifyer - BLD Application - 7/18/2016 MASON COUNTY PERMIT NO.
- > DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING• FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
as County Bldg. 111, 426 West Cedar Street (360)275-4467 Belfair ext. 352
PO Box Shelton,WA 98584 (360)482-5269 Elma ext. 352 t
�,,,� Jvhn 1 "ECEIVED
&ra 0 I PL G & MECHANICAL PERMIT APPLICATION 2016
O RMATION: CONTRACTOR INFORMATION:
NAME: Safehouse Home Inspection&Construction NAME: Air Flo Heating tilde Street
MAILING ADDRESS: PO Box 2236 MAILING ADDRESS: 221 W Cedar Street
CITY:Allyn STATE: WA ZIP: 98524 CITY: Seguim STATE: WA ZIP: 98382
PHONE:360-710-6493 CELL: PHONE: 360-683-3901 CELL:
EMAIL: EMAIL : Christina@airfloheating.com
L&I REG# AIRFLI"206DG EXP. 04/25/ 2018
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): 12217-53-00064
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS:310 Soderberg Road East CITY: Allyn
DIRECTIONS TO SITE ADDRESS: F
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—I ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tvne of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Heat Pump
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace _
Bath Tubs Heatpump
Showers Spot Vent Fan
Wa S
Propane Tank
Clo� er Gas Outlets
Kitchen S Wood/Gas/Pellet Stove
h Dishwas r Kitchen Exhaust Hood
Hosebi At � Dryer Vent
Oth—riAb W' Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor.I further declare
that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including
any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PE IT APPLICATION OF 1 DAYS WILL INVALIDATE THE APPLICATION.
X J �CJQ
N�Signature of Appli Date
X 111Wqn�-Q,' Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL Cqao -�Wlr-o u n t�
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