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HomeMy WebLinkAboutMIS99-0143 Final Demo - MIS Permit / Conditions - 4/23/1999 C- m -i 0) v -i m v D z m� c� M - � � 0 fJ►� O --I m < O 00 B O OD co m r -o I: L p L r co sc D m0 m m Om _ 0 m0 - DtC m � .. rfl � -I -i r+ -I wzD vm -n -• D m z M -+ ® D O D O m r. i r W m Z 0 Cl) A N O W ��" -� m 02 fn D r 66 c .. — r z --I omm mm Y -I -I OD .. O Hr, r- C71r x z coa D m A LL — � zz = N) mm ..� .. = > 0 0 vv rn zN ww C � • 0 x vAA ri w w D C c, N N - al L9 61 m a a'-„ V 'd Z m Yi cs� co m rn w is (D co .. t0 cC w AA 7� 0 (DO m z m OD OD 0 m i J m m r- m z � O zr b 0 0 co D x o c. r o D O 0 0, Z z :3 rn cn -I (D o 0 ` n D CQ U M C a z 0 z Q x m v 0 (Q . 0 .�. z O D v (D -q 10 QL 0 -n O Q z v o CO z w a oo m r 0 0 .. O D z m (Dm 4 r 0 O D -I r •- r A N V I 0 Of v m t , E # 000 O Wol O S v'/^ r} � C . 01 O `V //w10 CL __ W 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 FRAMING Walls by FIRE DEPT. date by dat date by PLUMBING tttic by OTHER Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by Water Lim FINAL INSPECTION date by date ��, by date by , r s 0 o 0. Q � z 01. s. (> 00 00 10 0- 0 ODD .,.. «° PERMIT NO.. MIS 1VIAS6N COUNTY I q-01MISCELLANEOUS PERMIT APPLICATION �"! 426'W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INF RMATION Owner —L L-Anh> Contractor Name Mailing Address a Mailing Address d city��` f State" Zip Code City 4 �� State . Zip Code Phoned Other Ph. O Ph.( „D ) Other Ph.( ) Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. / / c7/Q 30 Fire District Legal Description Site Address(include street name and city O Directions to site / Will timber be culrand sold in parcel pre ration? (Yes/No) Is your property within 200' of the following: Body of Water(Name) , Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New - Add Alt Repair Other Use of Building_ Describe proposed construction L�J,a A -0 Ini V) L"442 !il( F SHORELINE PROJECTS New Replacement Repair Expansion Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT, NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents thi t the information provided is accurate and grants employees of Mason County access to the above described property and structures for reviem and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently register as a the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is ssued will be done in conformance therewith. No changes shall be made without and all work shall be done in conform nce therewith. No changes hall first obtaining approval. be wit t first ob inin p val. X Date Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. 1 Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee OtherRe t,pQ Q� UFC Plan Review Fee Other �© i 7�7 � Q Violation Fee Pre-Paid at Submittal ( ) YY TOTAL FEES `