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HomeMy WebLinkAboutMIS95-00239 Remodel - MIS Permit / Conditions - 10/9/1995 i m r-.O D CXto 0 r14 2 of ' D aim YJ _ m D m X N as C W O -4 M — - -i "R W m =. y -4 n cn Gp N 1V $ m G? 0 t/! t!) _ -i z 2! D oo � •- � N STi x C . CA) l r 10 • tNA C 110 Z W Jj ' m r- N m m D y m .i mm 0 G1 4 z z r 00 m co D - N p D V X0O tR ° C IE :- �Z z o m c 40 C > ti01* N o n � m a o 10 a 00 CA ° 0 0 3 T- 0 �1 cn .. © > -a r r a v f V I f i • .. -+ n Y Y A7D0 > mv 'm 1� ZCnmmZ: Ac m mz 00 — V 0 < = MWG} mr C - m m c o v z j W r - 00 -4ZWM < mcn z •- — -•t r•' 0 --4 -t tO > ISl maoz0 aw Z m -aWC V n W W z m z O D M M — � 2 0 —f co "" j IM = GD 0 zV > —# 0M 00 ~ m = C -4 z -f ►'r'1 D W Q 0 x -! 0 C z I zz - 0 - Z am0Mr- f "m 4 Mmo Dom Ca — r- orna) 00 07 -- 4n3w £/0 - y Zoo n � � D o , � � � rn o D cn 00 0 o � mm Old z CAzvc� cn © > a f m os z Q 0 c 'o i = - 0 i � j Qm00z 2 -► t� -aA �3 l Q � z O> m CA N 00 ca r- M •ea GO z o 0 f m1" 0m OC < 0 � Mr- CA2 -+ my - --qww c z m maa W � A O — Crr � nZ - Ar Otnr` zczvnzva G) MM — r — nz < -i -i p rn < Cn 1- 2 Cl) W -• C W • Wr13 m D !n nnl�5-da 3� MASON COUNTY._. .._ _. :. =�s PRE-INSPECTION APPLICATION 426 W. Cedar/P.O.Box 186, Shelton, WA 98584.427-967 $25.00 Fee Required prior to inspection PLEASE PRINT #1 Owner BELFAIR WATER DIS'T'RICT #1 Phone# ( 360) 275-3008 Site Address N.E. 22451 HWY 3 City BELFAIR Mail Address P.O-.' .BOX 563 City BELFAIR, St WA. Zip -98528 Applicant BELFAIR WATER DISTRICT # 1 Phone#_ (360) 275-3008 Applicant Address N.E. 22451 HWY 3 City BELFAIR St WA. Zip' 98528 #2 Parcel No.—, 2 2 2 2 - 5 0 00308 Legal Description TR46 #3 Purpose of Pre-inspection Remodel 1AC '« 03C 'I-�"t+ LXSU i bl P �1 #4 - Use of building n f f i r P a n d =ij JIL i n m P P : i--n g #5 Indicate by circling the applicable source if any.water is on.or.adjacent_to subject pro -- - saltwater lake creek stream marsh river pond wetland seasonal runoff othe e11s Directions to Site: Takes uwY 1 until ..yn» raarh RPlfair� We arP- nn the 1Pff haild side of HWY just past HWY 106 . 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. Y8 ys�-- k.s•e q 4 •tav v�� . old mod ba n F<nc'4 ❑Y 3e' xl! V y y_ of VW .V Y tv<I-O' -2 it V dot y ✓y/ e' lug f � ya Applicant Sign re: Date-y/�5's <., .f a r DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: Special Conditions