HomeMy WebLinkAboutMIS93-0585 Final Woodstove - MIS Permit / Conditions - 11/5/1993 T
MASON COUNTY
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 b
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 b
WALLBOARD NAILING
D.W.V.
date by
date by I
Water Line FINAL INSPECTION
date by date I by L�-✓ date by
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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I C EIVED SEP 2 7 1993
MASON COUNTY Ent
PLUMBING/MECHANICAL PERMIT A L P4TI1;y 3.05
P I 7 %,;a(��E 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 42 GENERAL SERVICES
#1 Owner 5 LA V-NTj F3G TT%i Phone# 206-;17S" 713 6
Site Address tj E 130 L E-Rwoop PLAuE
City 5EL4=A,2 W It St LAJ Zip `3 57ZS
Directions to Job Site
20o-t& 300 jcl�Kt- -ibcoards St• PARK- 04 5,aN1) AILL 20AP
TAKE Qt��t— GK'ia ��D�6Z (lo>� TAy (2-i(rNT" OATO A 'Woop LA^3F
t4ou$F Ar 4 n1q or Ar%-D�K-wooD w vrvt 3 c.pr2. 6-N9-AEG'
Owner Mailing Address 5A-ma.-
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name K-t->Ap Lv mP�- 4- AA zOwaAvj TA -- Contractor Reg. # K ITSAL 4 09 39b6
Address 4% N 4Tio(JtkL Ad>r S- Expiration date It Z(o `13
City bq Enn E-.-(Z St Wk Zip %3 j Z Phone 2oro 47q. 4 t�1`k
#3 Par ce o. 0�3 U O• s` S
Legal Des ion P.E n yr W �(Vl r jai We,('�
#4 Use of buildi \50`YN P n e work 1 N$TALL N6w
#� Type of Job: New Add C Alt Repair
Plumbing Fixtures (�3 each) FQg Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Unk Fees
Showers Furn BTU
_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
ood, Gas, Pellet Stove C)L
Permit Basic Fee 15.00
TOTAL PLUMBING $
Permit Basic Fee 15.00
TOTAL MECHANICAL '(5 'e-.o
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. Proof of continuation of work is by means of a progress inspection.
NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit tube loca"
outside of the,existing structures, a plot plan MUST be submitted as required below: �►
Show following-`on th'&site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Well, 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 CON]THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OI E
AWAREOFTHE MASON COUNTYORDINANCE 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 BUIL""'i
THE BUILDING DEPARTMENT. � J' _., DEPARTMENT
�-
X OWNER_ rz �_/L e�. X BY �,J•�—/�' `i.�,
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by. gate.
Receipt No. Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY
Approved Denied
Planning:
Building:
L�
Fire Marshal: