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BLD92-00863 Final Salmon Hatchery Project - BLD Permit / Conditions - 5/21/1993
o ;is -zztp � '+n --o Z N - -- - -- i — Z 3F 7� MR 04 4*0 a- In IT Wo, Vr M. tT, 107'T�"'- -4= t1t < Cb- Z�, en 'If I'D im m 2 aw cn x 0 10 rot 4W At Ir, w X T. 24 co qw 4w ab, 1A lm� W -W-C 21 DM 10 ?1 co C) T x Z s rw :9 cc xv CONCRETE MECHANICPL MOBILE HOME Footi" etback L� ►'�'� �- n date by Ribbons date" 0— Gas Piping date by Foundation Walls date by Set Up LAB Insulation date by Floors Finaldate by date /G date by FRAMING FIRE DEFT. date { by aL, Walls date by PLUMBING date OTHER � G � Attic by date-.. ,_ by WALLBOARD NAILING date by date 214Pt by Aloe- Water Line FINAL OPPECTION ' date by da •%� �3 date by wx r a c i Ss C ti T ✓r 'C Q o OD O Ol C C r : 10 OD /� W Cd V '4R T p�w a I - 7 4- Ham . ....2r•: . '.^ = fT I K t"4'ate.i�+•G 0 :A �•"- T t£ 1 S 7 C i 7, O`4 s. M,rt b C,nr e-r C z ip C C«A C-h 0 17 r: 'm :7 j # 1 � 70 ar P p t 00 .. 1L t4 on XCA cn -to O y. E ^ rr O C S v 0 -•`s, •S z t•4° z :^ of j ��, � ra.^.6. � � Fes•"R y^F �.. CIL 40 tt.) s ©10 ^'t :7 1 Z 'D 10 C� k SON cotm= BUILDING PERMIT APPLICATION rt,EASE wttttt I l...l�..L}♦ vim'._'` Sti r#1 Own G►. -t?,jMy Phone# 2.Z e4---S 2-89 _ Site AdClz*9S Own= Address 1 c--1 3 �=� �l� LRtar�/Ti t3.e 8old!ar su�� � �rY.2�.���&JTL:e-r,.....St.UaZ1p 1 0 Address C1 ty. ►17 #2 C==acta=' P- LV,4 .P0Z C=txatctQr . A daze C1 ty APVtZ St,_„ Zip - - #3 Zf saptic Is located on project site. .include records, sr� A-rrAC Connect to septic. _ Public Water Y Wall #4 Parcel No. Leal cr-{p r t..t - U 5 Auildizg Squlaar/ee�Footage: le ciW/p *oW istFl�R�. I.�Rr•I�Illi --` wrl �il 3r rsR�I�/�. Baseman; "fz 2 _ #ba OVFb - sq t I�YIMrllnliunhll . Use of building u�tc� �xtlA c r�cfi*-�-► ter- M-, # Toga of &J : New.._ Add Alt-,,,,,w,,,,,,, RCpstt,.,..,,,,,,,. Demt�l tip_ Plrmtb=g fmly Mechanical cal 0a3y—_... Mx)dsrove . Re-Roof-.... Bulk leac_,R Qrher #8 P.Zgobija _zLa=ures A&#-jj42iCa7 E I*. Eel Types No. Air l ng mlits „_„_Bathtubs _ Fturt is 100N BTU _,,.c« 10000 cfn- L Showers Z NFU= >• 100K BTU 1 3. 10000 cf2a.6po LsBatb i.akst Pump Floor E' tp Coolers ;� _Dishwasher vent systems Boods. .J.-Rot oftcar xtr Z went Fans C(.o<> ,,'D=wx. .Turns. Aftsbar Boilers/ CeammI. Iasrin. ,1.p2©or Drains 0-3 AP . ,,,,.Woc/Rebut 3-15 SP is Outlets 15-30 AP ..,,,_.whvdszove ...R. 3 0-50 BP .Other.r..�4. _.... Node roil r,; ` I ce Model - Len ... Width ...�......, Serial No. �Sedtnoars,,,_,,,, #8a rb.rooms - 910 Any wa cer on or adjacent to property.- pond........ sa3 t^wa ter � Iake�� . We c laid...� seasonal runoff::.... I � i jr � kit • f w.w'Y � i i f . j • I / F. 1/ i I t I t 'r it i I I f i I I I I i i i APPLICANT TO DRAW SITE PLAN fti P`' No 'tit prr ,tTT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AL"T:=©R*ZED IS NOT COMM„ENC-D WITH 18 0 DAYS, OR IF CONSTRUCTION IS SUS?MED OR ABANDON= FOR A PERIOD OF 18 0 DAYS AT ANYTIME AFTER OR WORK IS CON t-' ER WORK CwiP LS AFC InAv�T CM=AC:0A3 A' DAVIT - - I cortFY T1MT j..fx_«.1WT AM THE jjo*'S CW THE - cmntA=ms-uctSTMATtON LAN aw ICV me AM AWARE I �� THAT t AN A Cilttany *wv RED mum ace tF TW W►�li&t" 001*00`ME4tittojE1P1, pa WlgN IN THE STATE O VASXf Q W me i- AM pF TW 'MIS POW IS I== AM JUT ALL t+iMl IM WILL ItE IN WRINIwa RE�IIttRQI�TSlumAting flE {pR ON YlttGl ' Co" TNU WETN. Mo WALL tE oftTEE POWIT IS t AM ALL Wt K We Milt. K IM WITNWT tRRSt OBTAINING AP"WAL FN{Rt THE WILOING � U00aTr• M S "N . $1 NAOE up"T"w- Wt7NWT Pita t#WAININO rYl POW TME.019LD NG 2 oil= L1AZ'F 2 Iff Wa p=.t of Goml $asviees 426 W • �/P.O. etc 116 18584 427-9670/1-S0a•S62-S628 AcEep.�. br Date: rmg ti',t C" wpm All o"th: • i 1'hl�t ]lrorl, ; tie �r�sil: 0tut=; MASON COUNTY DEPARTMENT OF HEALTH SERVICES 'y POST OFFICE BOX 186 SHELTON, WA 98584 (206) 427-9670 FAX 427-9425 APPLICATION FOR DETERMINATION OF ADEQUACY INSTRUCTIONS 1. Complete Part 1: No 'dst*tminat on can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water system utilised. 3. Submit completed application, with attachments to the health department for review. PART 1: APPLICANT/PARCEL: IDENTIFICATION • ifiiiiitiiillliliiilllllllHil[ittilil1111IINlliiillti�iliit�lliiiitlliilitlilitiilliiliiiiltiliNtlliiliHiillitlliltlifiilililllilililillllllRfi111N111111[IIfli1111111U1 NAME OF APPLICANT 3�'�� 'l � ��f!ir � f" DATE L #+ 4 Z " MAILING ADDRESS ` Ar11 1 ,,�. TELEPHONE S Zo&�) ZZ -ice Z$9 ASSESSOR'S PARCEL- NUMBER SUBDIVISION (If Applicable) LOT TYPE OF WATER SYSTEM (Check One) REASON FOR APPLICATION (Check one Public/Community water System Building Permit, Single Family Us MindLvLdual System+, Drilled Well Building Permit, Commercial Individual System'r Dug Well 8uLldin9.Permit, Replace/Remodel individual System, Spring Land Use Application E, Nam Individual System, Surface water Type y Individual System, 'Other Other PART 2-A PUBLIC WATER SYSTEM li!!#liiltllilHHN!iiiililllfii1N311Niiii1111IIi1UillfiililiHil11111111HIIINilfiitlliiliiit11111IllliIIIIIIIHIIIiNfilIIHIIHINtttiIIIHIIUgiHlpiliillliiiliiiil NAME OF WATER SYSTEM WFI. ID the water purveyor for .this system has previously filed a certificate of water adequacy with the health district. 0 1 as manager of the above referenced water systes, The ester systso Aas am approval far service connections, with connections presently in a". the applicant has approval to connect to this water systew. service of water to the applicant for domestic purposes is eeeeistent with both the water systes plan and the water right permit presently in affect. vatsr lines are "ailasis to the applicant's property line, or the applicant has suds satisfactory arrangements to eKtand the lines. SIGIMM'1UL of SYStEM MANAGER Dan