HomeMy WebLinkAboutMIS93-0746 Final Woodstove - MIS Permit / Conditions - 8/8/1995 COACRETE MECHANICAL MOBILE HOME
Footinpav8stback date by Ribbons
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ditto by Gas Piping date by
Fd"tion Walls, date by Set Up
date by INSULATION date by
LAB Insulation Floors Final
date by date by date by
FRAMING FIRE DEPT.
date by Walls
by
PLUMBING date by date
Groundwork Attic OTHER
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by dateF date by
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MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584 "
(206) 427-9670
*,-"1900-
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Job Location rn ,LS I3
7tft.sVuctuf9hftbeen,Inspected by Mason Cou my Buiidkng Department
and the foilowi g VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
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Your y, Y t t o dye c ar tior i be r ice I#EFORE
oDlli vok IY FURTHFER WORK
Cali for re-inspection.when corrections are made before continuing
❑Make corrections, items will be checked on next inspection
❑OKto
Department
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MIS
NOV 2 2 1993 MASON COUNTY i
RVIGES07
CLANEOUS PERMIT APPLICATION 44,
SER� 584. 427-9670 Y n
.GENERAL 426 W. Cedar/P.O. Box 186, Shelton, WA 98 O
PLEASE PRINT - ----------
�5 Phone# Fire District#
#1 Owner City $�i�i
Site Address
Mail Address
St /9. Zip p
City Phone# .Slns''��y
Applicant
Applicant Address �l O"'� St Zip y
City
Directions to Site:
l
fR2 Parcel No. l 191L 9 - 5 3 - D I Z l.vT 1 2--
escription to
#3 Indicate by circling the applicable source if any water Is on or adjacent marsh o
o t property site:
saltwater lake river creek stream pond wetland seasonal runoff
#4 Project Start Date // / Project Completion Date i
#5 Use of Buildiing Describe proposed construction
•Dependkv upon the type of permit,a floor plan and pint plan may be required. _ s
*This permit Is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTE RED COM-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND►,114M MRCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND,
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- i ALL WORK DONE WItq
CONFORMANCE THERC-*
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE ; WITH. NO CH RST
MADE WITHOUT 1NGDEPART
WITHOUTFIRSTOBTAININGAPPROVALFROMTHEBUILD- MENTINING
ING DEPARTMENT.
X OWNER X BY
DATE
DATE
ti
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements Indicate directional by
Septic Systems .Name of Fronting Street N, S, E, W etc.
Proposed Improvements Name of Flanking Street
PLOT PLAN AREA
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
APP COND APP HOLD
Planning
Building
Fire Marshal -
Other
1
i
i
Special Conditions Fees
Permit Fee
Plan Check
Other
Other
State Building Fee ,
$
TOTAL DUE