HomeMy WebLinkAboutMIS94-0786 Pre-Inspection - MIS Permit / Conditions - 9/19/1994 r` -.
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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L�l MASON COUNTY
SEP1' 94 PRE-INSPECTION APPLICATION
919
426 W. Cedar/P.O. Box 186, Shelton,WA 98584.427-9670
VERALSERVICES $25.00 Fee Required prior to inspection
PLEASE P^,
#1 Owner Belf air Assembly of God Phone# 75-2858
Site Address NE 23001 Hwy. 3 City Belf air
Mail Address- Same
City St Zip
Applicant Denni, O%mi t Pat ctromhAro Phone#,)7c ,)oco
i Applicant Address Same
City St Zip
#2 Parcel No. 12332 - 50 - 00040
Legal Description Sam B. Theler's Home & Gar TrS 4 66 acres of TR 18
#3 Purpose of Pre-Inspection To inspect the sheet rock being added to the unfinished basement.
See nttarbed
#4 Use of building Church facility
#5 Indicate by circling the applicable source if any water is on or adjacent to subject property:
saltwater lake creek stream marsh river pond wetland seasonal runoff other
Directions to Site: From Shelton! North on Highway # 3 to RP1 fai r Chiirrh is located on left side
of road just past the Belfair Elementary School.
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks,Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking& Fronting Streets. Indicate directional by N, S, E,W,etc.
Applicant Signature Date
F
FOR
; A Y
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Recerp
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Special Conditions
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