HomeMy WebLinkAboutMIS94-00516 Final Furnace - MIS Permit / Conditions - 8/13/1996 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- date by
Az 91a
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
.I
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg.Ill 426 W.Cedar
P.O.Box Tab Sheffon,Washington 9asa4
(360)427-9670
BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
D-7 196
TO:
Or
S1nsz�t z� r) , Lj))n
RE: Permit Number #
To Whom It May Concern; `
During a recent review of our files, it was determined that your permit
may meet one of the following criteria:
1 . Permit is expired and needs to be renewed or have a final inspection
2. Due to the type of your permit and scope of work it is possible that
the work has been completed and it needs to be inspected to close
the permit
or
3. The permit is ready to expire and needs to be inspected or an
extension needs to be requested.
Permits are valid for 180 days from the date of issue to the inspection
date and remain valid for 180 days between each required inspection.
If our records are inaccurate and you have had a final inspection, please
send a copy of the signed off permit to this office so that we can update our
cards. If you have not had a final inspection and your permit is expired or will
expire within 30 days, please_ contact this office for a final inspection, update
inspection or extension prior to 0� /_L& /96 to avoid renewal fees.
All permits which are expired or due to expire within the next 30 days will
become null and void if contact is not made with our office.
If you should have any questions regarding permit validity or the purpose
of this notification, please contact the building department for clarification.
Sincerely,
) j
Building Department
cc: Property File
rermRno.
( - MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O. Box 186,Shelton,WA 98584.427-9670 _
PLEASE PRINT
�`F n dev C.l Phone # :
#1 Owner �� �
Site Address Van be r y-"i E'K,
l
City St zip,
a
Directions to Job Site
Owner Mailing Address j0
rn
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor.Name 1 Y Contractor Reg. # A
Address a - " Expiration date �" -
City q_Zip g < Phone
#3 Parcel No. 1 ('a
Legal Description
#4 Use of building C Describe work
T of Job: New Add Alt Repair
1
Plumbing Fixtures ($3 each) �
Mechanical Fixtures $6 each)
No._Toilets CIRCLE FUEL TYPE:(Gi s Electric,
_Bath Basins Heatpump, Other
Bath Tubs UL " a
Furn )A606 BTU
Showers — _. -.
_Hot Water Htr — Heatpumps
_Laundry Washer — Vent Systems
_Sinks __ Spot Vent Fans
_Floor Drains N_Q. Boilers/Compressors
_Laundry Basins — HP
—Dishwasher NQ� Air Handling Units
_Disposal — cfm#
_Urinals NL Qther U
_Other _ Gas Outlets ��_
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 H work or construction authorized Is not commenced
v thln 180 days or if construction or work is,suspended or abandoned for a period of 180 days at any
ork" =nmax L Proof of oontlrN "On - ork is by means at a process tI >tsetlon.
�Ju swe of a Iie existing structum% a plot plan MUST 6e 3ubmitredas required bek w.
Show following on the sts plan below:Lot Dimensions, Existfng Structures, S✓ iftr+e Setbacks, Water!kws,Septic Systems,
Flood Zones, Web,, Shorelines, Easements` Name of Flanking a Fronting Streets. Indicate dfrecibnal by W"', E.W, eta
-1
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I QERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC-
"rHE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
AWARE OF THE 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
GONE 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
.I;^HE BUILDING DEPARTMENT. DEPARTMENT.
'<.OWNER X BY
)ATE DATE
leturn permit to: Department of General Services
26 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670/1-800-562-5628
OR OFFICIAL USE ONLY: Accepted by: Date:
'cer'pt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
nning:
4ding:
Marshal: