HomeMy WebLinkAboutMIS95-0573 Office, Workshop, Install Underground Tank, WDFW Fuel Tank - MIS Permit / Conditions - 8/31/1995 1
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iCONCRETE 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 by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON CO N Y
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner Dept. of Fish & Wildlife Phone # (360) 753-5730 Fire District#
-McKernan Hatchery.,',W. 411 De ette Roadx" Shelton
�i!te Address y - City
Mail Address 600 Capitol Way North
City Olympia St WA Zip 98501-1091
Applicant Glenn Gerth Phone# (360) 753-5298
Applicant Address 600 Capitol Way North
City Olympia, St WA Zip98501-1091
Directions to Site: Take Highway 101 North to Skokomish Valley Road, turn left.
Follow Skokomish Valley Road to Deyette Road and turn left.
Hatchery is at the end of the road. i
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cel No. 4211 6326 0010
Legal Description F 2 of the NW4 of the SW-4Sec. 16 Township 21N RangeGy ),i< ,
#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 Office and shop Describe proposed construction Installation
of ConVault fuel tank of backup power for hatchery building.
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hAIA,St)h CO. i-tA1+NING CREPT.
'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
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 REQUIREMENTSREGULAT-i
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-1
ING DEPARTMENT. MENT.
X OWR X BY
DATE DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
See Attached Site Plan
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
1
Building
Fire Marshal
Other
Special Conditions Fees
1„7
Permit Fee $ t
Plan Check
Other
Other
State Building Fee
TOTAL DUE $ ��
�a6 s2n7'�o0
b y
t �
State of Washington
DEPARTMENT OF FISH AND WILDLIFE
Mailing Address: 600 Capitol Way N•Olympia,WA 98501-1091 •(360)902-2200,TDD(360)902-2207
Main Office Location: Natural Resources Building• 1111 Washington Street SE•Olympia,WA
July 20, 1995
Mason County Building Department
Post Office Box 578
Shelton, Washington 98584
To Whom it May Concern:
Enclosed is a permit application for installation of an above ground fuel tank at the McKernan
Salmon Hatchery. Also enclosed, is a check in the amount of$29.50 to cover the permit fee.
Please mail the permit to me at the above address. If you have any questions, please give me a call
at (360) 753-5298.
Sincerely,
Glenn F. Gerth, P.E.
&_/d
Permit Manager
Engineering Division
GFG:po
Enclosures
J U L 2 6 1995
MASON CO. PLANNING DEFT.
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