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V*y —s C 0 0 :6-40« �c-1 r C 00"-)K � I1 1 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date z be Ibc-,.' b Foundation Walls date by Set Up date by INSULATION date -3/— `�(o by ( J BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork �rJ date by date b D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by C - c-✓ GtJl�l�i rfcrCN4 1 PD�c7ua i I I i i i I i i I I I Building Permit # MASON COUNTY BUILDING III 426 VIA CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location � �Me. 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 be corrected to gain code compliance 3. /. c V el jc)� Z' 'S en C- e-f You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑OK to Department Date 3D- eO�— Inspector DO NOT REMOVE THIS TAG Permit No. '�9�DU�i� MASON. COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT II� J/ #rSite r &d; R. Sk4b. Achn ✓o�(p l��P%Gf� Phone (3�o�a75- Sl//`' ddress. E 5o ,'vna Fire District# StZip S Directions to Job Site y 3 a-o 6yy 300 -/.. S'nd Al//Rc( 1�C/RC s s Sfie2 e f Qewl fi crn n r.�1a.c� a(d < (7-6-V'V e") fir. Owner ilin Vdress U City d-�i l (2- St 1AX Zip \n' Lien/Title Holder 1 " Address , c e z- City StZip #2 Contractor Narfre u Contractor Reg# Address 5 3 Expiration Date City PC Zip 993 G Pho4kf) I/7 S- 0-7 ` 5 K m- e- 6a4TfV-11Q1 #3 If septic is located on project site, inc u e records. Connect to Septic?AS Public Water Supply Well eS Connect t6z8ewet6ysM rr?- (if residential, proof of potable water is required) # arcel No. � ?3a c I - OLD, - ?��d Legal Description t ) V2, NE NLJ (,J `tK L/ osr 5P =0--�� 39 #5 Building Square Footage: (existing/proposed) 1st FI &0/ 1, a 2nd FI 1 3rd FI % Loft Basement •-T— Deck 3 #bedrooms/ #bathrooms / Garage x �'�� _Carport ( :Attached r Detached. i Other sq.ft. i #6 Use of building 2 %�a�nCSL �� � �G� _D cribe workM o�" U v' #7 Type of Job New Add Alt Repair Other �n U #8 MOBILE/MANUFACTURED HOME INFORM TION _ �*W --- �.:•. cc Model Year 9 M I f �( C ---Length 1 Width a$/ Serial No. �j'�� N U) #Bedrooms _#Bathrooms Type of Heat t-4ec7lk-tC �1 Q Purchase Price$ — 17,otaf? #9 Indicate b circling the applicable source if an water is on or adjacent to subject roe $JOTA' Q Y 9 PP Y . 1 1 property:rtY� River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other ! i r Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW O� R� Q��t �'8 ` x I y' �0, '�� s„1c� I-e i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 7 Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, ath Basins Heatpump, Other t e B h Tubs \oB Fees Sho ers BTU Hot W er Htr pumps Laundry sher Systems Sinks Vent Fans Floor Drains m r r k _Laundry Ba ns _ HP Dishwas er No. Air Han Units _Dispo al _ cfm# Uri als No. FirePr i m Other _ Auto. Fire rm ys 50.00 Fixed Fi Supp. s 50.00 Permit Basic Fee 16.25 _ Auto a Sprink Sys 35.00 TOTAL PLUMBING $ No. Ot r s Outlets ood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.25 k WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT f I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I e RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE '$ CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT i MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. ti OWN E X BY i DATE DATE k FOI"I tFFICIIA�.usl +ONLY,Aeptedy: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cor?d� Hold App oval Planning: Environmental Hea4: OWNER/BUILDER TO ASSUME ALL RESPONSIBILITY IF DRAINFIELDIZ�C AREA IS ENCUMBERED. x if J' Building Plan Rev!eW&dA,.L"- 7 Occupancy Group: Type of Const: t Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove -� Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE ,