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HomeMy WebLinkAboutMIS97-0174 Cancelled ReRoof - MIS Permit / Conditions - 1/13/2000 1 i M -4 0 z -"4 z a = tit its � a — t © -a M l a z o Z -a to 0 •• *■ D PFt "rt S11 's1 = m O tst T`" 0 — D -4 I m _ � w ., s - -r GzD aas 1 a � © Drn Z a r- ^" z m m C's rm i .. 7C 7C 4A "L' a C? 1f1' z N to N I A A C? ]M ^�* 2 0 z �N OD M -i r W i S t9 a z r yi -400 bat03 V ae L7 O t 3 Z m IN z a m C -4i� ��, m N _ ' > j O` q. I. h > p oQ a 00 -� c► o �+ c v a 0 .0 a 700 y 1 ff1 � f x ->zrra Xz > x - > wa > = V v tot- U90 - m0 .< = 4 0 O � 1 7 In aw � - -- -ar- 0 -1 (0c -4 -4a co sat < 0 = •4 zm �' � © gym c -+ zm 0 i " m s� c z -4 c 0mfn -4mz �, f kc 3C Zo > tr) 0W , ! m > r _ z -4 -`wiz -am > ry 0 M c � 0 z = MQC Z cn -ma a 03 " ° 'c z m O � r a V0 X � cDn > -4r- Rzrn 0 .. 03 � o <" Oo oD 1 ia Pra > a > zoCr-i (D n mz 0 m ,Ow O 1 t > rl m 0 -004m _ C m `� z � c � �-4 Q p Z > © g cnai > m CC < 0 C m a r- --tCCoo � C ;np = z � Ci a � (( i D f r- x c Z > - I r �C art- acoo$ I 00 QQ - � wr,) j mom > j (AC4 -102c_ )wr- > > are►rl rEtar - ca --0 < n za* rz in 0 . coo) I > 1 I 1 I i E7� Cst Ja J I 00 x 0 7> ?3 R! a z w czi Mi —44 0 � O 'f r. c zz zm MCI - &0 a � � az 0 ca0 1 z -� -� -0 -" I no OW � i z0 � � mw j I" W me C) m Q -•! cn Ep p m w Ctv 0m a 00 -i -i r a a c 'n 0110 a ftl cm < � . � -4 0 w x !� a z0 x0) 0 � I xn a v � n Cn ! > . � � 0 O = Z x o cu vo n z ca Q N i' V Q ? m ! > 0 n �f a r .' ', m 10 Q z Q I� c� z f f" z r- > f to > m fl � f � (Y Mls 01-1 MASON COUNTY M GEC LIMO! ! PERM'"AP iTI ?N 426 W.Cedar/P.O. Box 486.Shellon,WA 98584.427.967t1 PLEASWORINT 1 #1 Owner % Phone,# 36fl i-7 7:J -f/5/1/ Fire District# . Site Add / City .df,A//' Mail Address Ciry St Zip .=2y Applicant Phone Applicant Address S city St Zip X.& Directions to Site: ke #2 Parce[ ..�c _�1. 2 LegaiDescriptlon ^ #3 Indicatei bY-circling the applicable source If any water-is on or adjacent to the property site: saltwater lake river creek stream pond wetland seasonal runoff marsh other #4 Project Start Date Project Completion Date 05 Use of Buildiing_ Describe proposed construction 'DeperK9np upon to type of permit.a floor Plan and Plot Plan may be required. `Me W"Is void for 190 days from the dab of isuarme. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 1 CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT t.AM A►CURRENTLY REQIST p CON- -Or—THE CONTRACTORS REQISTRAkTIM LAW TRACTOR IN THE STATE-OF WASHINQ'>< 7AND 1 AM RCW I&VI AND AM AWARE OF THE MASON COUNTY AWARE OF THE OROK&NCE REOUIREI i Ri L�AcT OIaDI REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK Ft)R WHICH THE PERMIT ISVOWD AND At 3.7HAt ALL.WORK'DONE WILL BE IN CO1- ALL WORK DONE`WILL BE IN'CONFORMAN 1E RE- `I'HERSINITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES 04ALL BE MADE.WITHOUT FIRST RSA"bB"TXII NOAPPAOVALFROMTHEBUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- MIG DEPARTM MEW. X OWNER X BY DATE DATE Show following on the sit plat Lot Dimensions Ffobd' enes _' Existing Structures Fences \ Sft cture Setbacks Weds Water Lines Shorelines Drainage Plan Easements , Indicate directional by Sic'Systems ..` Name of Fronting Street Proposed improvements Name of Flanking Street N, S, E. W etc: PLOT PLAN AREA Planning AEP goDAPP, HOLD Building Fire Marshal Other Special Conditions _ Fees Permit Fee a Plan Check Other Other State Building Fee TOTAL DUE $