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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 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
IV Eey) A �- L.-�JyT.�ec 71-1
Ale" lexDAmSir-d T�=/,vT.
1
PERMIT NO.: BLD —CM7V
MASON COUNTY '�)c/ 1_1�1
BUILDING PERMIT APPLICATIOK�,)
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 INFORMATION
Owner Contractor Name
Mailing Address «,%, : Mailing Address
City State Zip Code !ZEJ'rP--/ City State Zip Code
Phone( ) y26-7/` Other Ph.( Ph.( Other Ph,(
Lien/Title Holder +,+J t Ca ai ol tic..k Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System 4
PARCEL INFORMATION-12 digit Tax Parcel No. L.�2 aoz 1 °Z 9 / a po go Fire District
Legal Description <,.r w , ? f`f ' ,, c r
Site Address(Please include street name, street number and city)
Directions to site 97,14 6 11 Der$[ 4ow A rr r 6 e a '7.
Will timber be cut and sold in parcel preparation? (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
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE 0
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work _ I I "I.,- r 4_.;,_
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL 8.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 that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that.]am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance 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 will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X / - Date X Date
FOR OFFICIAL USE BEYOND THIS PO��INT
Accepted by 7fy 1.3
DateSubmittal Amount Due t;. t w Receipt No. � f
DEPARTMENTAL REVIEW APPROVED DENIED::p CDNDIT1tJN CO3D S
Building Department yY?l-
Occ Grou Type Constr.
Planning Department
I
Environmental Health Department
Public Works Department
i
Fire Marshal
MASON COUNTY
DEPARTMENT OF PLANNING
BUILDING I • 411 N. 5TH ST. • P.O. BOX 578
SHELTON, WASHINGTON 98584 (360) 427-9670
July 28, 2000
Lloyd Prouty
2255 Johns Prarie Road
Shelton, WA 98584
RE: Aquifer Notification for a Type Il Highly Susceptible Aquifer at West 190 Pine Acres Road,
Shelton, Parcel #42002-75700040; Commercial Building Permit 2000-000078/79/80.
Dear Mr. Prouty;
Please find enclosed the form for aquifer notification that will need to be recorded with the Mason
County Auditor as required by Mason County's Resource Ordinance 77-93 Critical Aquifer
Recharge Areas Chapter 17.01.080. This will inform future potential property owners that there
may be restrictions on the type of activity that can take place in this area (landfills, hazardous
waste, etc.). Please provide a copy of the recorded document as soon as possible to the Mason
County Planning Department.
Also enclosed is the Critical Aquifer Recharge Areas Chapter 17.01.080 for your review. If you
have any questions please contact this office at 427-9670, extension 295.
Sincerely,
Shandra O'Haleck, Senior Planner
Mason County Planning Department