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HomeMy WebLinkAboutMIS97-0628 Cancelled ReRoof - MIS Permit / Conditions - 8/29/1997 y � A w O -4 r��ie -< C . c G /O O Z f!M] - = n In m m m !+'! •• to of -± (yj = -1 -1 fl Z D a Q C7 !91 > m z = o z m P +- a r x -4 M "i p !r -4 o rr .. Go m b -i z © 's V) o +- °' y A W f-S > m n A Ss N @ z b0 9pm l9 9t z -I o 2 Z j ^ .w — r C. Q cp ?7 JS z c—, ri Gi rr � C �CC If, r @M a S !11 w �. O C9 = z f � :" `� • '•1 a = w 01 A .J u+ !9 - { pA ?! Ar oIs !T I J! us !t1 y t , — _ O Off` C rn O (Q -o Q 00 o cn -t = l C r co a O c o gp a O Z 37rn x -gcn X -- Dm © D2 m m i z f © - ZOMMZ > - ip mz CA I xz ww - m < x n o o Isr" aS7 ZrenzA m &n 0 A (n v --4 > > Zrn -; MMx , z -► mom r - a b yr- o --� z cc ,;, rr9 cn z - - -4r nm z0 -4 'AmO m < 0 cra cm "` z = m o . -+ .� m m 2 `z -Y O -1 0 m 0 cicn 0 zrra T2v LDro Z -1 � ='10 rnm - Jc -4 aco rni/> v -+ 00 � rn ma cs rr Z -i Gl --Imz 2 a 2 J) z10 -1 -nCn � - o --4rnz a a z0 MC7 > 30 =.* 2 .: n T7 D --i -+ w M b *A V o o = � aA -V m G \ ors► -1b z7D Omw < - 7 3 -4w = Ch - tnm z - rnm z7K Cy rtn 0rnfl rn a -M m :) ovs " v. to a -+ f- mmsan pv O -± mn om -i0 < xx n O Zr 9nr- mz - a: O rR _ rn :, � z t' y v v zv v - �- v -- -0 Boa -+ za CD � -+ D A A c fl "4 OVA � O O 3 � 2 7 D O m 2 _ m -i z O c� z rn j 0 -0 Y a � v trwam po - m �- �z -jr Q N I - < O rn - -< cy) v b m r D -O z O -i (Q �i 77 3f O ^- Q l s > Z w 0 � Q 2 m O c -< J � Z � C f- x ^- na0 � .p ?_ 00 rna A m -n 0 - -4 -.- M . -+ czm rt - 2 mM ab �- f/� a -1 0 za > I- O rm ZaIV r- z �o fl In f� V I g -az m I 3 00 - - fl < Cn 0C T m D m .0 a Dfn Sir c x > � c z m C _ a = s z D z 0 ^ DID }I M 0 U7 z ;7 1:1Q T --" — m cn O fn 0 0 -� T, --J -I {� 0 rn I" J 0 O a V m m 1, Y coW O x o CIO n 0 l ti c O 00 c ol Z Z po Q- O � z 4 � i o n c Q l C-P 00 rr � z c � r ! Ir I Z � A i i MIS D COUNTY 11121 �v� _, MASON COON MISCELLANEOUS PERMIT APPLICATION ql--Df 7,V PLARW ITASSISTANG CENTEf6 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670 #1 Owner E �e&vr or 6 u e o_. b e_l Phone# �5�O - g 9 R- Fire District# U Site Address f- 4q 4 t 4 u.� I L U City u fl D f1 Mail Address D 2, Ll 1 City l n, v n St rq zi , a Applicant Phone # Applicant Address City St Zip Directions to Site: r cam\ St l e 0, Q,tGe H 11,4 I I N�✓-�� #2 Parcel No. - J U - 0 `�o0 f Legal Description #3 Indicate by circling the applicable source if any water is on or adjacent to the property site: saltwater lake river creek stream pond wetland seasonal runoff marsh other #4 Project Start Date Project Completion Date #5 Use of Buildiing U(Y) C_ Describe proposed construction 'Depending upon the type of permit,a floor plan and plot plan may be required. 'This permit is valid for 180 days from the date of issuance. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON- MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT- ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE- FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST WITHOUT FIRSTOBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMENT. MENT. LX '1 X OWNER / "I � X BY DATE DATE