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"S's D (Q � rhTi fir! 0 rf OZ=C" - r- O? 0 tR m > Z40>M ? +—Ov +Z f+o Q N -4 --«Z '-3$cr++ Max— v ZO -i - o m o nrnm>© � log ,+ OOu}ZO s mis - m (D r►o O=:DO -t 0 as c a "s a 10 Q _.+ m e Z>- c3 o rt"Y 00 0- OD Q rt wr-oyZ -" m iE rA o 0 CL m o rnfl tov> to_. 5 =2 ? -- to --C r--7- ; t r a-w 0 o cr - O'DDOZO �� Ty rt= Zt t7 �*+ 0 t! 0Z-c_4 13 to o'v 0 Cf �jd <0 - 0+ r-Z tA�i-i. o rn f--4 m o CL '< > -� m j I ..' (p M w v Z* O MO m ~'� 1Q g ACn 0 i M--q I~ tr '7 'T C MO O s8-- 0) Z-4 < rat 3�1. O E1 Z ZZ tT { co 4 no O -� 03 C -� 0 Cm 3 -s r l< Om m m -- 'z► �! Z m 's 0 o f— O on 0Q c a MM 0 o D -- m xm h X 0+ < � O O`cn z a •� * Q s rsNE — -} Q. QNz-O y N Ol o 0 10 Q z Ca Q n 0 O C , Z -e C T C7 Z fl CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by RJ)borm date by Gas Piping date by Foundation Walls date by Set UP daft by INSULATION date by SGISL.AB Irm aiion Fbm Find dab by date by date by FRANNO doe by Wails FIRE DEFT. PLUMBING; date by date by Groundwork Attic OTHER date by date by D.W.V. WALLBOARD NAILING date —215 qIb date by Water FINAL INSPECTION date. by date by date by SrmY�e r 3� 11 _ . Permit No. MASON CO lNTY .0 BUILDING PERMIT'APPLWATION n'�a _.426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-967CV1-800-562-5628 PK SE PRINT A ner Lc � S Phone#�46� Z?S 30 40+ ss �. /Z D. Firs District f r --�-- 1 tc ;Dtions to 5ito Z To (/c ; D d L !c o _ _ - _ _ COW t, o G L Owner Mailing Address 2O City A y/l� 3t - Zip Z Lien/Title Holder j/o it/,=— z Address City - ,_ _ St _ Zip #2 Contractor Name E5 N8A- T CoptrWor Reg# _ . Address D0:5 PAW— ExoVionDate City -Owoyr .s 4?FP4PAV/-r St Zip Phone# #3 if septic is located on`pr*bt site;.lnc4&4ecorc* - � Connect to Septic? /VO Public Water SupplyAD Well.�6 + ( }Connect to Sewer System?-go Name of System AIA (If residential, roof of potable water is required) • Z6laP,�Zbc �i�.4�i9GLr) #4 N4arcel�Zo.-/z%.Z l - z - 0 a o 00 Legal t�escriptio ,0W + l / 2 /il, 4,14 ereLrtOV - #5 Building Square Footage: (existing/proposed) 1st FI ' ..i 2nd FI - ' -/ 3rd FI Basement / De9k / #bedrooms / #bathrooms / -7- Garage / Sao Carpolf / ~(Circle:Atach�doretached?) Other,L/;,QTMO .eee sq.ft. #6 Use of building ��`l�� �yLc lQ�/�� Describe work #7 Type of Job: New ,)< Add Alt Repair Other #8 MOBILE/MANUFACTURED 76ME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat Purchase Price$ 1 #9 Indicate by circling the applicable source if any water is on or adjacent to subject propgrty: River Pond Creek Stream *� Lake Marsh Saltwater Seasonal Runoff Other Show foliowingon the site plan Lot Pmensions V 1`116off2ones Existing Structures ,.- Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan - Topography - Septic Systems Wells' Proposed Imoroveme ft Easements Indicate Directional by (ft .51. E,:. W) Name of Flanking Street Name of Fronting Street an relation o plot plan APPLICANT TO DRJ4 SITS 00k BELOW �i - 761' c�lg,0j�eA)Al ADsr - po 47 l� -T-A .L i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW GIN Gov ;Lid ,r DEPARTMENTAL REVIEW bFFICE USE ONLY r Approved Cond. Hold Approval Planning: Environmental Health: t ff�j Building Plan Review Occupancy Group: # ,r Type of Const: .S= Fire Marshal: 7� , Other: A _ 4 _ Special Conditions: GOIN/H `FEES: Building Permit 60 15 Plan Check 0 Plumbing Fee Mechanical Fee Wood/GawPellet Stove Radon Morilor Violation Fee Site Inspection— Building State Feet' - Other Other Bu#ft"uativn: - O tom- TOTAL FEE Plumbiog Fixtures(93 eachl Egg. 42g4piol Fixtures($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, lectric, Bath Basins Heatpump,Other 1 A45Q 5* RP th Tubs _ _ _ N.4,. u0b Fees S ers _ Furn BTU _Hot W er Htr _ Heatpumps _Laundry: asher Vent Systems. _Sinks _ Spot Vent Fans Floor Drains NL L Boilers/Com _Laundry Basins _ HP Dishwasher Ng. Air Handling Units _Disposal _ cfm# Urinals Ng, Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys- 25•00 TOTAL PLUMBING $ Ng.. Q121 Gas Outlets -- Wood,Gas, Pellet Stove NOTICE:,TIC PERWT BECOMES-NULL AND VOID IF WORK ORaOr MUC" MEN=YETr M!1*DAY'$t CQ lST iUCTJON OR Permit Basin Fee 15.00 WtM r 016 FW A P.ER= TOTAL MECHANICALOF IN wohilxv *t-vw --w-ow'Ll Cow $ MEANS 4F A . OGRESS OWNERS AFFIDAVIT C ,<ONTRACTORS AFFIDAVIT I CERTIFY THAT 1 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 RCW 18.27,AND AM AWARE OF THE MASON C0bJNTY AMAWAREOFTHEO IREMENTSREGU- ORDINANCE REQUIREMENTS FOR WHICH THIS,PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL.-WORK DONE WILL'S�IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHIM THEREWIm.NO C14ANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDI G DEPARTMENT. DEPARTMENT. X OWNER X BY DATE PATE MASON COUNTY DEPARMW of GENERAL SERVICES I�Iaxoa cp rWy tlld�,lIf 4M W.cedar !N'A,> K t SI1eNoe�.Washin0fon 9asu S. I' '- BUILDING PARKS&RECREATION FAIRICONVEtflON CENTER ADMINISTRATION ab-1 9S6a Re: Permit No. :,�/�.,g���►�� Dear VYb 0;'yV 4. 4�fae4tIA4&_7 As per your recent es this office has` noted the above permit for extension to (9 5 , 1996. In order to keep your permit valid, you must call for inspection prior to this date. In the event that you do not call for inspection, the Uniform - Building Code allows for jurisdictions to require the renewal of building permits. Depending on the length of time of expiration, there are two methods used. If the permit is expired by less than one year, renewal may be obtained by paying• half of the original building permit fee at the discretion of the building official and if the permit is expired by more than -one year, the jurisdiction can require that the permit actually be processed as a new permit with routing to all required departments. If you should have any further questions regarding the validity of permits, please contact the Building Department at (360)427-9670, Monday-Friday between the hours of S:OOam and S:OOpm. P Sincerel , Mason County ui ding Department cc: Property File 141AR1 S/o� 00000 P.O. Box 30 Allyn, Wa. 98524 (360) 275-3044 April 6, 1996 � s Christina M. Smith .' �,-M' ' Mason County Department of General Services a& Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Wa. 98584 Re: Permit Number BLD 94-1736 Dear Ms. Smith: My wifeT$her„i called ril 4, 1996 you stated to remit a letter bi order °to Le permit. I thank you for that. The building is frame secured and only needs the wiring to be completed in orde V ll for the framing inspection. This has been the aonditi©n or the past six months. I was in an automobil6` accider4band could not complete the wiring in order to call for the framing inspection. The Contractor, David Vanslyke, stated we could not call for a framing inspection until the electrical wiring had been installed and approved. I am just now able to resume my normal physical activities and expect to have the wiring done within the next 2 to 3 months. Upon a signoff on the electrical wiring, I will immediately call for a framing inspection unless you advise that a framing inspection can be done at this time. Thank you for your support on our project. Sincerely,, ry W. Escalante APR a 1996 SEFMCEF