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HomeMy WebLinkAboutMIS95-00633 Final Replace Windows and Sheetrock Wall - MIS Permit / Conditions - 1/24/1996 i m era —1 !d ca --1 :0 'A m w m -4 -< O 0; O 'H o c)Igo co M O z G M .. .. sn sa a1 Ol m > v n > aef m v as � a a rn 0 z . mm a r• Igo O r . r It m rn ca r os s a , -4 W `has caCA -4 O D " Op -'im 0 co 0107 pcc co '4 -4 = Im ca • O OD Isis Am { m m t! -i m m M -4 C a _ OQ e � o c� caA m w O C� r rr x O r r -�� � n m p " r OD 0, � z z CD 0 p 0 Q o _ s m _ cn N m c Q Q 0 t7f R+ a � z M r c� CIO O a r V A 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 PLUMBING date (Sl/� —� by OTHER Attic Groundwork date by date b D.W.V. WALLBOARD NAILING date by date /0-3D—f16y !� Water Line FINAL INSPECTION date by date _ by date by I Y V tiyI � p i n - --0z Dorf- vzita —Vc<= n o o0 -s 1 --4 c'a r�n � vzi � r- rr' C �s a z -4 mm 9Dvz -► mom z -t c -4zmz f z — — --i t- 0 -r -n rp i o 3 2z r�n .OA{ u; -n2 �'' mRM - {1 z 0 IV — O 0 W 0 x m .. CO z MmCICC � nW z < � am rn -t1a C3 Is m (A C ADD0xMz �! � — 06 0OD rr3 pD mm — 01 f+ f+ 4 � rn t -4 -4j a -am > 0 -+� CY O 1" 0 = x — -f p 0 ao Z I "s x DCACxr- ib r $ zL'S m -n --4 x M G 3d AO Lx') r: m0M0 O Q 40_ _ 0 � A 0 Q M zOA WO z it L7 0 = 0 x m �• ADt�' pfi X -4 r O W --4 z — O0 0 0 rtro ''p r -aim © - MM O� = z a w > '. von' --� zo CD� Q ' 0 mrn = MC4z O (Q c c v 0i - V012 - O Oo0su = C z -+ A '4 > CS Cl) -s v a W > rn — zcs fn to rsro ? �,m m --� ov s ! A axis -n -nom n z > — Qo Q A 0 QC -< 0 -t c aafit Mv' - -4WW CZrn ,< rn+ m9T w -a > - 0z — Dr O z 0 v a z 0 a) mm — t-. — Q A z -< --i St -40 m �= a < {!s '- z vs m m i i x � 1 x0D - Q � 9 4 n � � 3 00 i ° nCn `` o 000 Q I j 0.. I i ?, z V cu _� o S2 0 (P z = C Q p, OD Z = 0, cQ co o n :) m m 10OL Orl Permit No. MASON COUNTY O(033 BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner SEL-4/R u KrX;C 1>l sl5e le- T J Phone#� Site Address NE, A.411s'1 h&c-y,3 - e, F61C .5753 Fire District# City az;e&x St 0VA Zip 4e9 S28 Directions to Job Site .? &ve-& No 97T `V2Z-R Sfc.7-7k AJ fyu,y /06/eyw y ;r>d�- Oro Hwy .3 Owner Mailing Address R4 &rvx Sb'3 City zez-A;x St Zip 86-:2$ Lien/Title Holder , tL4ha IwA7ZW D/S7-stte7r / Address ^6We- City St zip #2 Contractor Name MF" Contractor Reg# Address Po, !3m s6-3 Expiration Date City CO i,2 St W,4 Zip ��s�8 Phone #3 If septic is located on p�ro�site, include records. Connect to Septic? Y Public Water SupplyWell Connect to Sewer System? Name of System (If residential, proof of potable water is required) �p #4 Parcel No./-z33A - •5� - o©sod Legal Description Tlrt ifF.2 49*Rd0ri0 T12.40k Je*W9,' /'4 Tr.oNsAi jo 33; 5,rC7,-,eA1 Z- #5 Building Square Footage: (existing/proposed) 1 st FI/s3S_-,/ 00 2nd A A60 / d 3rd FI / — Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building �u E R��13 77A L Describe work z=p4*2 e,6' Ld/ d�vs lvs�il ?- S/ltsE' eZoc � WALL #7 Type of Job: New Add Alt :Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION fpA�cry— Model Year Make Model UO JA. Length Width Serial No. #Bedrooms #Bathrooms Type of Heat Purchase Price$ #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 ,E Lot Dimensions Flood Zones Existing Structures Fences S Structure Setbacks Driveways I Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N,. S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW � i 3 7 L ' 1 FweE 33 +, 7- .y A/wy 3 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW µf ar AIF- S h/ � a�e Plumbing Fixtures ($3 egQ12 Egg Mechanical Fixtures ($8 e&Q-h No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _Showers _ Furn BTU-- -Hot Water Htr _ Heatpumps _Laundry Washer _ V ystems _Sinks Spot Vent Fans _Floor Drains No.. Boilers/Com es ors _Laundry Basins _ HP _Dishwasher No.. Air Handling Units _Disposal cfm# _Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 rmit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. 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- TOTAL MECHANICAL $ MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. WNERS 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 DEPART ENT. DEPARTMENT. X OWNER O X BY DATE DATE w...::.::::.::.:..:..... .::..:::.:. DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold i Approval I Planning: Op 11 Environmental Health: Building Plan Review 100 Occupancy Group: Type of Const: Fire Marshal: Other: F00 Special Conditions: Building Permit " Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Al Radon Monitor Violation Fee Site Inspection Building State Fee P Other Other Building Valuation: TOTAL FEE