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STATE OF WASHINGTON
DEPARTMENT OF •MMUNITY, TRADE AND ECONOMIC DEVELOPMENT
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OFFICE OF MANUFACTURED HOUSING
The / andis certified,as provided ky law,as a
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Manufactured Home
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JOSEPH S WETMORERay Price
NumberAssistant Director,Housing Division
Date Expiration
Manager,Office of Manufactured Housing A �1
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Assistant Director,Housi'� '6 Number Issued Date Expiration Date
manager,Office of Manufactured Housing WAINS1887 8/14/2002 7/31/2005
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' r . pLA PLOT REVISION
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-RECEIVED DAT. L�
< / DATE
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AP ROVED
T MASON COUW Y OCR PLANNING
i� SITE PLAN REQL RED TO BE ON SITE
20 ICES Suj3 tCT TO APPROV.",L
By Date
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3q 4 9 Sill
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HESE PLANS MUSITE
F E APPR`: MD ���� 2 6 2003
N THE JOB MASON BUILDING 3NSPECTOR
FOR INSPECTION. SUBACT TO APPRaWIL
08/07/2003 11:4 %AX 960 427 7798 MASON CO PERMIT CTR Z 001
Request To Revise An Approved Plan
Permit Numbe*: 28�9 -6�5� Z_ Name
Parcel Numb hone umber daytime (92-53 )
Project A�dre5 u - ailing Address tZD. 7r,-f#0JVA
.sc�l M) T76- IfZ7
Please provide a complete, detailed description of the proposed revisions to the approved plans:
C
At b
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Are two sets of the revised plans or addendum indicating the changes included? s�Yes ❑ No
Are the approved site plans included? ;�Yes
❑ No
Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes .W No
If;i'es,Has the engineer or architect approved this revision? ❑ Yes &No
Is a stamped and signed approval included with this request? D Yes G No
(NOSC N� structural changes to a"desirtned"plan will be anoroved without the written consent of the cneinccr and/or architect of record.)
I
Does the proposed revision modify the footprint or,location of the structure? V'Yes ❑ No
If Yes, Is a revised site plan,with all new setback dimensions included with this request?
es ❑ No
Additional Information:
--------------
Applicantts signature Date: 0
/4
Office Use Only Received by;
Forward to dipartnents indicated below- Aooraval!D to
Buil&xtg �7 Qr�dtiginal Valuation: $
A2dditional Valuation: $
Planning (�7 Sq.Ft. x$ $
Enviruntneatal Health Total New Valuation $
CCc�'F tl
❑ Public Works Additional Fees:
Additional Planning Dept.' $ '
New Setbacks: Front / Rear / Additional Plan Review $
Sid®1 / Side2 / Additional Building Permit-' $ «
Additional Plumbing $
Additional Mechanical $ ;a
Additional Conditions/Comments; Additional E.H.Dept. $ «'
Other
Total Amount Due: $
Amount To Be Paid Up-Front$
Tech i�.�
' RtiFstC SR6 7/2009
MASON COUNTY
` DEPARTMENT OF HEALTH SERVICES
2:�Z�Nt'
Environmental Health Personal Health
PO BOX 1666 SHELTON,WA 98584
LOCAL(360)427-9670
BELFAIR(360)275-4467&4468
Application for Determination of Adequacy
Instructions
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enfs::to:the:helth de
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PART 1: Appiicant/Parcel Identification.
Name of Applicant !'a ,_ k �"• 4� j c v e r Date 7 -- G 2
Mailing Address g d,0S' > 7 t" S1 C f A10. Telephone ,2-s 3- f 7-5.z i 6
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Assessor's Parcel Number ,I P,530-6-0 0011 t7 a.►�����.3o-SO-oo �i 1 ('131.A �o�L
Type o Water Sy
stem Check One): Reason orA lication Check One):
❑ Public/Community Water System(2 or more 9 Building permit
connections) ❑ Land use application,if so..
to Individual water source(one connection),if so.. ❑ Division of land
X Well #of Parcels?
❑ Spring/surface water SPH9 -
❑ Other(explain) ❑ Boundary line adjustment
❑ Other(explain)
PART 2: Water System Information
Complete the section appropriate for the type of water system being evaluated for adequacy:
Public Water System
Name of Water System
Water Facility Inventory(WFI)Number: ' "`
❑ The water purveyor has filed a letter granting blanket hookups to this water system.::,
❑ I am the manager of this water system. The water system has been approved for servicgA. .TheF;e; .
presently connections in use. This will be the connection.., �a .
willing to proviCee water to this(these)connections wi out exceeding the�l its f.the WWvv to s em or any
limits set by state and local regulation.
Signature of Water System Manager Date
H.IWDATALlRCHIVEIWATERAD3.WP Update:March 22,1999
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