HomeMy WebLinkAboutBLD93-1242 Final Furnace - BLD Permit / Conditions - 8/30/1993 MASON COUNTY
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Mason County Bldg, III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date 20_ �� by __� date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Permit No.
MASON COUNTY i,�ld q 3 - 12_g3,
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 II
PLEASE PRINT F-D 42
#1 Owner L.EN o t% Phone# of '7S 470y
Site Address Al,C-. 301 OL(b BFzycktz da,, &JAB(
City l3EZFiI'P_ St W a Zip 985Q 9
Directions to Job Site T- Ro 13&Z --A,1Z-- LEFT .4i iN1�:XS[:C .10Al A{RdSS fAd m 73&_Lr4-rte_
,,)C1E ,.-AlRoAl - ��& AI W" S7VA A-?' S7-0CXMA-,t?_,f 1. - APPRoKIMi479'6 f l2
L' oL S T o
o y S r D Af l_&-r-i
Owner Mailing Address _Sy9-ML- A 5 H--B oyc
City St Zip
Lien/Title Holder Lg7tl Rosc:�
Address
City St Zip
#2 Contractor Name t4Lj- (zm4'b 2 i 6n(-,-)eo t_ Contractor Reg. #A+L.L000 -A®BG m 3.
Address�.E, as g-71 flit)q 5 Expiration date
City St_�J _Zip 9154) Phone D 75- 738 Fl
#3 Parcel No.f a? -1- <mo/O
Legal Description 7P-J
#4 Use of building Describe work -r 1',ff 'j,e W
CLi'jr"( vl✓ikc�.
#5 Type of Job: New,,/ Add Alt Repair
Plumbing Fixtures ($3 each fea Mechanical Fixtures ($6 eachl
No. Toilets CIRCLE FUEL TYPE: Gas Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Un2ia Fees
_Showers Furn .35,aco BTU La.0 U
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal _ cfm#
_Urinals No.. Other
_Other Gas Outlets -11 Oa
Wood, Gas, Pellet Stove
Permit Basic Fee 15.00
TOTAL PLUMBING $ _
Permit Basic Fee 15.00
TOTAL MECHANICAL $ �
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 anv
time after work is commenced. Proof of continuation of work is by means of a progress inspectir
"
OTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located
outside of the existing structures, a plot plan MUST be submitted as required below:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OPTHE MASON COUNTY ORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR
FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
SHALL BE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEP
X OWNER X B
DATE DATE 101q 3
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628
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FOR OFFICIAL USE ONLY: Accepted by: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building: ���✓lc - /cow-IS�i� -�ct��' . ��
Fire Marshal: