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HomeMy WebLinkAboutMIS95-0056 Final Retaining Wall - MIS Permit / Conditions - 4/10/1995 1 1 I pC � G r• r -c 4 R1 It -i O M w (A T1 [ t� ro DC- r 40 s b M R -i ft! m m - m r, O - b cx lA b -E 00 irl WQD31 c toZb Dn a" Ww - w aG 3a tit to !U m M D !iw r- I Ontn tn ® z 000 �cr M °" -+rtIn rri D j seams -t p � Z -4 � > D_ � r j UT3 SAt37 Z Z wQ30 4 >to m W I !ISV � NN ^ S M7 00 ! 0) iv c b I a M L3 sr -t -C m a s +�to tr tit tat C ar 0 '044 O 4A Y w laisIsa m r wCiO Is Is M 0 co � m _ w � z S IM M t4 "Z D s !13 iV -• � � �i LSi i3t lR i4 -i C �* OD 0 ?� D X o V 9D '� On CA 1" V J O O -- -n Cl) Z D p ?Z (D R1 k 0 O Q q > o O e 7D m C O Z N '' o 0 (D Iz 10 a y 0 OD < w t a9 > z ar t t m d D - �� D Ni tom" S A fV 4 CONCRETE MECHANICAL MOBILE HOME Footings-Setback �� no�` ��"/ ate by Ribbons date 3, z Z— 5'7 by Gas Piping date b Foundation Walls 0 z dK c date by Set Up date by 1-3—5 S INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date ��r��o^� by �� date by I� I I I L Q I - 43 O to G ca V CA m Cc OalaE O ++ 0 L. a 16 s a6 L rYZV � C41 O a t/) ZGO. CSZ Ott ..3Q — Zc> F- "tO' mcuzD UJ Z cc . :, o tc3aa p co z. — z uzma- tnCL ffioa © azQ � m 00 c a� 1-- ° act 0 °: � � � u 0 < WWw I I.i �D E Z0t}- _s *- f- Q I c Z .c p .. F. to Q to Q 7 CN 0Z E f- JQCA. 0 — Z � l `' ` ° I O c � m p 4- - .� as 0zrz- - 0a m E ae: L .' ... 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N ti D = ; a O (j) C -0o Um � Iz L C 0co �R� agog O U Q J w e X 0 "A N N 4 < 0 GD F- 0 L w M f W r ui �y � rs v tti1 Q a 0 0 00 in mc rr i5Z W ?- * +� LLI Yi wj -A w E" f' In 4 WASp c. MI rz r m oil- r U Z In c - z to m •+ a c: � • ire t- � us o m fs+ :. CE! Cot 0 {1i cu o s o if« G9 LOU, �- Ltr .� Q z s t1 ., V Rt Q < Z CC7 e- h- 6i �- �! •• •• so Q C ' w iii t+J W ulto n t► s d OD C• O t G N Cs Y tfc O C ot O tL = CL , t- i U. < 4 ti C. Z IL : Permit No. MASON COUNTY BUILDING PERMIT APPLICATIONy.�[� 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 4;;� U` PLEASE PRINT #1 Ow r Gc �013hone ite Address G� _ � Fire District CityAZ St &1 '&—Zip 9 Directions to Job Site G Owner Mailing Address .S"u City St Zip Lien/Title Holder Address St zip City #2 Contractor Name h oo Contractor Reg#S Address O 4 Expiration Date _/ /0 / City�� �c,,�'� _St_6G/Zip Fl -Z?Phone# �O Fs Jfs #3 If septic is located on pro ect site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #40 1 No.�z Legal Description #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI Basement / Deck / #bedrooms / #bathrooms / Garage / Carport 1 (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building Describe work W n #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MAN FACTURED HOME I ATION Model Year Make Model Length Width Serial No. #Bedrooms #Bat ms Type of Heat Purchase Pri $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional by N, S, E, W n relation t lot Ian ) Name of Flanking Street i Name of Fronting Street p p APPLICANT TO DRAW SITE PLAN BELOW S e P a r�rCc c)re�sire617— APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW a Plumbing Fixtures($3 each) Egg Mechanical Fixtures($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, —Bath Basins Heatpump, Other Bath Tubs Ng, Units Fees —Showers — Fum BTU —Hot Water Htr — Heatpumps —Laundry Washer — Vent Systems —Sinks — Spot Vent Fans Floor Drains N Boilers/Com ren ssors —Laundry Basins — HP ir Dishwasher Ng, —Disposal — cfm# Urinals Ng, Fire Other 4 _ Auto. Fire Alarm S 50.00 Fixed Fire Supp. Sys 50•00 Permit Basic Fee 15.00 — Auto Fire Sprink 25.00 TOTAL PLUMBING $ NQ. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I 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 COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE "- Z�X/7�— vac' 'o91N,1,. sir:MNi»n• / .i»..............E..... , y' DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review 1� Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit S Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee 50 Other IZ LC- _ Other Building Valuation: !0, go/ TOTAL FEE