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HomeMy WebLinkAboutBLD24994 Plumbing - BLD Permit / Conditions - 1/5/1990 PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO �� NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER 7U v 5' 6 DIRECTIONS TO JOB SITE LEGAL C� DESCR. J CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE We, USE OF T BUILDING _ PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE WATER CLOSETS ZOO FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS FLOOR/SUSPENDED FURNACE 3� 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS t12a� REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER O AIR HANDLING UNITS 7.50 SINKS HEAT-PUMPS 31'`'. 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET 0© DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO C�T'SEWER WOOD FURNACE 5.00 DISH WASHpA DISPOSA URINA PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL yjQp TOTAL 1B�„QO SP IALCONDITIONS: - 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 ANY TIME AFTER WORK IS COMMENCED, OWNERS AFFIDAVIT: I CERTIFY THAT(AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATiON LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIR T OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER DATE XBY Zgh_ DATE If (,51elU FOR OFFICE USE ONLY APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP aDTSUANCE PERMIT VALIDATION I'v -S-�o BY CASH CK MO I