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HomeMy WebLinkAboutBLD7986 SFR - BLD Application - 12/27/1977 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 DATE ISSUED A? �/J7177 2/31 av) PERMIT NO.79I1 C� OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE sJ �q O � .�t �. CLrC�14 tom. DIRECTIONS TO JOB SITE LEGAL i \ 1 (❑ SEE ATTACHED SHEET) DESCR. j �a NE / W /�I St?G. -r a3 i� ep 4S-� 4 NAME 4 M L ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR q IA i WWI 10` $T oJE: Pu ke - I2AA(Z - iCr C'Alo'1 rn USE OF BUILDING 51.r1 5Q>rn\ ) we Ir) Class of work: NEW ❑ A DITION ❑ ALIVRATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ s, o CL PLAN CHECK FEE 2 �C/ PERMIT FEE ��— lJ s SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECK BY APPj1QVED FOR I NCE Type of Occupancy Divisioh BYE}/�, { Const. Group v 2 Size of Bldg. No. of Max. (Total) Sq. Ft. Stories r L Occ. Load CONTRACTOR AFFIDAVIT O PERMANENT SEASONAL E.D.NUMBER I certify that I am a currently registered contractor in RESIDENCE the State of Washington and I am aware Of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING d o HEALTH DEPT. O Fir fA�S PUBLIC WORKS By - -t ROAD DEPT. Lic. NoIIR-`IVZI- iG-QUO m °L Date 10' D3-`)`) OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N O T I C E contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be In conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSP ENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER Owner Date. WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH MASON '4l1NTX Pl..AIM lI1�1!r 0FRARTMENT i P.O. BOX 186 Shelton, Washington 98584 �/ PLUMBING PERMIT APPLICATION IMPORTANT — Complete ALL items. Mark boxes where applicable. Name Mailingaddress—Number,street,city,and State Zip code Tel.No. Owner or Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington Signatu of applicant A ss ,/ Application data L L D Eg R TjION Location Of Building rt� NO. PLUMBING FIXTURES FEE 2 WATER CLOSETS BASINS BATH TUBS SHOWERS WATER HEATERS r AUTO.WASHERS �~ SINKS FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer / DISH WASHER DISPOSAL URINAL (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER. PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT �f ON OTHER SKETCH. DO NOT WRITE IN THIS SPACE — FOR OFFICE USE Apr d by Permit fee Date pemit Issued Permit number Receipt No. MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 198584 MECHANICAL PERMIT APPLICATION l 3 3 3 IMPORTANT -Complete ALL items. Mark boxes where applicable. LEGAL DESCRIPTION Location Building Of N5 NS Building E W side of feet E W from intersection of Sect. Twp. Range NO. DESCRIPTIONS FEE NO. DESCRIPTIONS FEE 1. Forced air or gravity type furnace or burner including ducts 14. For the installation or relocation of each boiler or refrigeration and vents, up to and including 100,000 Btu's-$4.00 4 compressor over 50 horse power or each absorption system over 1,750,000 Btu's-$25.00 2. Over 100,000 Btu's-$5.00 15. For each air handling unit to and including 10,000 cubic feet 3. Installation or relocation of floor furnace and vent, suspended per minute, including ducts attached thereto-$3.00 heater, or recessed wall heater-$4.00 NOTE: This fee shall not apply to an air handling unit which 4. Installation, relocation, or replacement of each appliance vent is a portion of a factory assembled appliance, cooling installed, not included in appliance permit-$2.00 unit, evaporative cooler or absorption unit for which a permit is required elsewhere in this Code. 5. Repair, alteration or addition to each heating appliance, re- frigeration unit, cooling unit, absorption unit, or evaporative 16, For each air handling unit over 10,000 cubic feet per minute cooling system including installation of controls regulated by -$5.00 this code-$4.00 6. Installation or relocation of each boiler or compressor to and 17. For each evaporative cooler other than portable type-$3.00 including 3 horse power-$4.00 18. For each ventilation fan connected to a single duct-$2.00 7. Over 3 horse power to and including 15 horse power-$7.50 19. For each ventilation system which is not a portion of any heating 8. Over 15 horse power to and including 30 horse power-$10.00 or air conditioning system authorized by a permit-$3.00 9. Over 30 horse power to and including 50 horse power-$15.00 20. For the installation of each hood which is served by mechanical exhaust, including ducts for such hoo"3.00 10. Installation or relocation of each absorption system to and including 100,000 Btu's-$4.00 21. For the installation or relocation of each domestic type in- 11. Over 100,000 Btu's to and including 500,000 Btu's-$7.50 cinerator-$5.00 12. Over 500,000 Btu's to and including 1,000,000 Btu's Commercial or industrial type incinerators-$20.00 $10.00 22, For each appliance or piece of equipment regulated by this 13. Over 1,000,000 Btu's to and including 1,750,000 Btu's Code but not classed in other appliance catagories, or for which -$15.00 no other fee is listed in this Code-$3.00 _ FIELD INSPECTION Basic Fee $3.00 Date By Remarks TOTAL $7.00 Name Mailing address_ Number, street, city, and State Zip code Tel. No. Owner G Jack Tryon 1 1420 W Po _OrchArd,_W�. _ y Williams Const. 1407 18th St. NE Puyallup, Wa. 98371 45-7608 Contractor The owner of t s brn�g nd th undersigned agree to conform to an applicable laws ASON COUNTY Pd-ftllVVIINtrl A/C Address Application date 239 W. Stewart Puyallup, Wa 2/28/78 ,Y DO NOT WRITE IN THIS SPACE - FOR OFFICE USE Apprn ea b� Permit fee .Date permit issued Perm it number Receipt No. J 9`�g SHELTON PRINTING CO.