HomeMy WebLinkAboutBLD2024-00066 Cancelled Mechanical - BLD Application - 9/4/2024 CANCELLED t-A-0 (VA�5 ff-C+7�'U�'S
MASON COUNTY COMMUNITY SERVICES Permit No: 9 `OVlJ1AP
PERMIT ASSISTANCE CENTER.-
,BUILDING •PLANNING a FIRE MARSHAL RECEIVED
615 W.Alder St-Shelton.WA 98584
www.co.mason.wa.us
`• i f Phone Shelton:(360)427-9670 ezt. 352• Fax:(360)427-7798 JAN 17 2024
g .- Phone Beltair.(360)275-4467- Phone Elma:(360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATICIA15 W. Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 3w cote NAME:ur*m wam,s Ar LLc
MAILING ADDRESS:s-sEeaacht=p Rd MAILING ADDRESS:5316NE63,dcr
CITY: sr-a- STATE:wA ZIP:qMU CITY:van wv, STATE:wA ZIP:gem
I'PHONE:(3•.c)42G-e41s PHONE:(sa3)e53-5465 CELL: t603a347-n54
2'PHONE:(366)M2-7t121 EMAIL :10 0@ut*0dwaU"ndat.com
EMAIL:ausnrrsnoo gmaa.com L&I REG 4 uNFEWA7830N EXP. io /ze 12M4
PARCEL INFORMATION:PARCEL NUMBER(12 Digit NNrNhcr): 319 O 15 1 DO O 3 Zoning:
LEGAL DESCRIPTION(.4bbreriatail:
SITE ADDRESS:31 SE eca:n Low Rd CITY:st*wn
DIRECTIONS TO SITE ADDRESS:
I
TYPE OF JOB:
N EAT=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURESIUNITS—I ST FLOOR=2ND FLOOR=BASEMENT 0 GARAGr=OTHERr_=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
T112c of Fixture No.of Fixture-, Fees Fuel Type:13lectric=LPGQNatural Gas=Ductless=
Toilets Tvpe of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs _ Heat Pump
Showers _ Spot Vent Fan
Water Heater g as Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks _ Wood'Gas/Peilet Stove _
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
{ lE'1' Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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
i 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 permitlapplication becomes null&void
i if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF
i OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INV (DATE THE APPLICATION.
ignatureofetnwC0n 1-
Date l
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
lit JILDTNG DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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CANCELLED
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