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Home My WebLink AboutMIS98-0347 Demo of Canopy and Removal of Fuel Tanks - MIS Permit / Conditions - 4/24/1998 .� O- co t> r" nn �� C4M r' M lr0 — 0t1 BOG! €- M A.MA. M 40 -'. W A a 0 f1J r ,"s Cc Ml M M p f" Q am C ® C9 D p -1 1" Z is M -4 -4 � > a C M n Z r z F v 'a _ N t9t a� i5t ZR Q ( 4 -4t 4 -4 > � � -�C am slalom > C i M IS • (0mm0 M I ® E cf Cb 00 Cb t 30 -4 14 -4 4 ai fy . V .t Mi 1011 * 01311 -0 z "a - NfR � C4me 'v W @I € �. . - C � 4f ® m � n V♦ 1 QO j o c' cl .. � Q v { 4 2 m � m �p r 00 -1co0,v x $ � = zM -4 = C z 'rtz - - „ i a * owca 0 ow - + -� -- 0 z O 0 cEt t9a A -4 > M O 'G (D S 0 ca V � 4711df � < O � Z rb V I 0 > t017 2 > I" '- G 4 - 0 1iV -40 -4fAtO co I - lb Zcz > > CoaSo M te rA too a t7m0 © - rO+t (D -- .z z ar ' v .♦ Q �. D = z < M . 0 = c i 4 caN I II �. se — •sE — or — j pCC• 60 Mm ' ocom M > " > �` c 10 Q d a l< Q CO m -t r+ 0 z0» tzzc7 j o o "ac0M r IV I a a zc v O 0) .+ m M z C z i 0 L > + ws M > > 'az 00 '4mGo j G I f` • ! f CL PR cn a D o 0 ! sZ W n ! CL p f � 7 E o � CL m I f I f f i f. f f: d�_ FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD ` . PERMIT NO.: MIS �Y1otd `�� MASON COUNTY ERMIT APPLICATION 426 W.Cedar/P.O.Box 186,8helt0n,WA 88584 Shelton 011 0 27.t1670 Belfair 360 276 67 Eima 4268 Seattle(2061HL4968 APPLICANT INFORMATION CONTRACTOR 1 ORMAT N Owner MA*a Aj 0&,m d ,,� (L L Mailin Ad ress Contractor—— Vim Mailing Address O d City State Zip Code City State ltlq- Zip Code Phone her Ph.(_, Ph. d -A4, Other Ph.� Lien/Title Holder Contractor R # .0 5 Address Expiration / / PARCEL INFORMATION-12 digit Tax Parcel No. 7"�e"� / �� / (�►QQ$� Fire District_ Legal Description Site Address(inciude street name and ' y Directions to site: Al. 0 Ar D ,. Mz- Will timber be cut and sold in parcel preparation? (Yes/No) / Is your property within 200'of the following: Body of Water(Name)_ �t/o Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add //AAl�lt`` Repair Other,�4 Use of Building Describe proposed construction SHORELINE PROJECTS Replacement Repair Expansion Bulkhead Material (concrete, rock,wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The,pwner or agent on owner's behalf,represents that the Information provided is accurate and grants employees of Mason County access to the above described property and structures for review and Inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. out rst obta' i pp I. X Date X iY Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by . Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW DENIED CONDITION CODES Building Department Occ Grp, Type of Const. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation$ FEES Building Permit Fee Site Inspection Plan Review Fee Other UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES FROM MCFD##2 Michael Greene-CHIEF PHONE NO. 206 275 6224 Jul. 01 1998 10:55M P3 sonde Environmental Service Inc. PO Box 3200 Siivt rdslt,WA 941383 (360)b9x-1410 fox 692-1303 Rich Haitmich Mtt a Ca ority Fire District#2 PO Box 277 BelWr$WA 98528 Site Address: #9761MP4 M480 cotimy Fire District#2 NE 460 Old Belflair Hwy. Belthiri WA 98528 PROPOSAL 24,Apt i1, 1998 Wo•�propose to Ihrnk the ah oWialaR mA prrorm the labor noobusty rho completion ad'danolitiOa and propor di i or the Ebel 61sapoTWO8 am Comm amd oatorcto past, Irinol pia to bo naitvo soil(tom sho. All pornits will bo tla mponsibiltty of Ces. All mmwWk ponMoed:to be a spooitlod.MW the aAbM work to bo perforniedsn woe 6111 oa with rho spodficaatioas sub mitW f f go"work•nd compldod In•pmfessionsl workmanlike mom for the sum OP. with payaraatts as follows: WORM doe UPON emPktioa of site work :. ; Away attuaslion or deviMioa fwom rho above spOxiflCMkns it"olvint extra oasts,will bo oxeoutW dal;►upoltWT1110 OP&M rand wilI b000m on eXtM~ova and aftm dw estima(c. All spun is 000109 9 UPoaa Mskoo SWOWAS Of 410111 tE eeyot+d vur,00ntrof. Wottcan s daa nand ftho Liabtihy Insurance on abovo abrk to be talkon out bycascsdc StWIMnmatatai 8"Vioe(CES). Rospootfuily submitted: Cam Ventalamicolm Richard vcrhoKi rivildenc Mots-l9>da� MASUAVSHM by pR if aocwptedLwithin 120 dAkVIL_