HomeMy WebLinkAboutMIS94-0078 Final Woodstove - MIS Permit / Conditions - 6/2/1994 MASON COUNTY
Mason County Bldg. 111 426 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 by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date av ( —L_] by �� date by
I
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670 �
CORRECTION NOTICE
Job Location M � 15F V—no -79"
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items// listed below must b/e�corrected to gain code compliance /
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OKto nn
Department
Date _y �� Inspector r ��
■ A* * NO OT MnV 1141, T A
� C11
F.01 Permit No.
I MASON COUNTY
FEB LUMBING/MECHANICAL PERMIT APPLICATION��
p� .�ng _ �� ,� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427 9670
PLE ��t i Y1r�f 4 0'2.
'00
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#1 Owner Fred;_�I c 1��. OJ 9— Phone#
Site Address es in rA nyhor _T
City Ere `&i r. L)i� e8sM St Zip
Directions to Job Site r i
-� r. ,�
Owner Mai lin Address Ne r
City `_F�k r St Zip � 02�
Lien/Title Holder
Address
City St Zip
#2 Contractor Name 010AMX _ Contractor Reg. # /t)�,V
Address Expiration date
City St Zip Phone
#3 Parcel No. - -
Legal Description
#4 Use of building � ; -[_cam>%�i�L Describe work A.25Z7L LCc
#5 Type of Job: New Add Alt Repair
Plumbing Fixtures ($3 each) Fe& Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. LLaitaFees
Showers Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer s _ Vent Systems
_Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher Q No. Air Handling Units
_Disposal W cfm#
_Urinals Z No. Other
LLJ
Other Gas Outlets _
Wood, Gas, Pellet Stove
Permit Basic Fee 15.00
TOTAL PLUMBING E
� V
EF
�_ mit Basic Fee --jr,an
2 2 19 OTAL MECHANICAL $��
9�
NOTICE: This permit becomes null-ihdfWO $ construction authorized is not commenced
within 180 days or if construction or work is sus'penn�efor 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 othrsr-.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 OFTHE 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 FIRST OBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING D PAR ENT.—, DEPARTMENT.
X OWNER r �,/ X BY
DATE /7/�� '9T 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: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW Proposal Proposal
FOR OFFICIAL USE ONLY Approved Denied
Planning:
Building:
Fire Marshal: