HomeMy WebLinkAboutMIS94-00318 Library Foundation - MIS Permit / Conditions - 5/18/1994 - — 3b -n j ,
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback, � � ( date by Ribbons
date "I '" Gas Piping date by
Foundati Is date by Set Up
date by 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 by date by
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MEMNOWN [O MASON COUNTY Permit No. .`� e",
MAY 18 1994 BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT v
HEAL
#1 Owner "�`� Ct/►y1°� vu Phone#42yz V CXo
Site Address N 3 S S 1 i4wv Fire District#
City �, �11�w �,�/ q 55 St LvA zip Q R 3S5
Directions to Job Site
Y YL Mk LL A1►-�t S l� c%l1Z o..n
vb l Lc•,� t
Owner Mailing Address 5 +&yAR
City St Zip
Lien/Title Holder —F}
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System Wb war �7Tv�
(If residential, proof of potable water is required)
#4 Parcel No.3o'Z4;1 -1- 0440 0
Legal Description _ �t� �-� �tTti.7�3�� 2-t{ N n`G. K' 3
#5 Building Square Footage: (existing/proposed)
1st FI l�fJ to 2nd A 7f'T 3rd FI_ / Loft_
Basement / Deck / #bedrooms_/ #bathrooms _/
Garage Carport..Carport_ ee�')- / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building 1,4& `.A._. i2���, ►'�� tN 'i�'0� Describe work
#7 Type of Job: New X Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION \//A
Model Year Make Model
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:
CRiver Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
THIS PARCEL
INCLUDES
PLANS, BLUEPRINTS
OR, OVERSIZE
IMAGES
LARGE FORMAT
IMAGES HAVE BEEN.- STORED IN
FILE CABINETS) UNDER
- - PARCE L N UM BER
PARCEL #
M15
CASE # BAD q4- 0318
PLA N EteVA-Tl D NS '