HomeMy WebLinkAboutBLD19732 Final Plumbing - BLD Permit / Conditions - 5/9/1991 TYPE PLUMBING PERMIT
Pdrmit No. 19732 No. Floors Sq Ftg
Owner FAWVER, Donald L. Tel Date 12-30-86
Address E 495 Deer Creek Rd Shelton Zip
Cbntractor Self
Address Zip
1--gal Description E 132.251 , W 264.48 , N-1/4,NE,NE,NW
Direction to project site �r�r� �`tsr�%s 36-21-3
Same address as above
Plurbing X Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINALZV✓
Mobile ome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace: NULL & VOID BY EXPIRATTOW
Wood Stove:
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED 14- 3 )
PERMIT NO. % / J e-
NAME MAILADDRESS ('1 &STATE �. ZIP PHONE
OWNER , 9'v.';�t J L. . f=., 'z.'/ �`'�� r.!/ /'��/;�
DIRECTIONS
TO JOB SITE ,��_ t c,e , ?
LEGAL
DESCR. v%/=/t C/l. S i<�TE S /�I �� a7�'Y•
CONTRACTOR IN J. r MAILADDR>E�SS CITY&STATE/ y� LICENSE NO. ZIP PHONE
.a�iG /" z/�.5� /✓%�' G .� .�� ` AL./ ��—
USE OF
BUILDING (,
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE OF FIXTURE FEE
WATER CLOSETS t) LI FORCED-AIR/GRAVITY TYPE FURNACE 6.00
BASINS GI () FLOOR/SUSPENDED FURNACE 6.00
BATH TUBS Tfj 0 BOILER/COMPRESSOR 6.00
SHOWERS ) REPAIR/ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAU N DRY TRAYS WOOD STOV ES 5.00
CONNECT TO CITY SEW,54< WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL / ;�, TOTAL
v
CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DM ,,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 I 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 M THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGUu iNN,_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 CONFoaH,aNOE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIBSTZIBTAINING rRO A ROM THE BUILDING DEPAR ENT. WITHOUT FIRST OBTAINING APPROVAL FRom,�,?IWLDING DEPARTMENT.
X OWNEF � -V" DATE .31� _. X BY DATE
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS H By BUILDING GROUP APPROVED fOR ISSUANCE PERMIT VALIDATION
/ 2 �^ BY CASH CK M