HomeMy WebLinkAboutMIS99-0010 - MIS Letters / Memos - 1/11/1999 yt
c
x nn
0
0
OD e-
0' 15 Z
0 0
N)
CD
10
OD
00
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
` date by Gas Piping date by
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
PLUMBING date by dateOTHER by
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
I�
I
I
X1
>
Cf)
x
0 0
— 0
OD c
01 :3 Z
:37
cn N)
100-
OD 01
00
77.
i
f 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 b date by
PLUMBING y 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
FORM MUST BE COMPLETED IN INK dRa.:qq
0VPLEASE PRESS HARD
MASON COUNTY
DEMOLITION PERMIT APPLICATION
F 426 W.Cedar/P.O.Box 186,Shelton,W 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482 5269 Seattle 206 464-6968
APPLICA T IN O MATION CONTRACTOR R INFORMATION
ner Ow i �el- , Contractor tame
Mailing Address '-0 Mailing Address
Cit State °Pa- Zip Code City State Zip Code
Phone( -q Other Ph.(_� Ph.( Other Ph.(_�
Lien/Title older &� e- Contractor eg. #
Address "V 0f SLJ Expiration ! /
PARCEL INFORMATION-12 di it Tax Parcel No. 6 / / ire District
Legal Description IC l i �`f �" �,e- 'rn rr C
Site Address(include str t n me and city
Directions to site: Fv iu' IGI
Is your property with' 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs If your project is located adjacent to or within an area that is 'sted above, it is advisable to contact the Dept.
of Community Development regarding future development prior to demolit n; since removal of an existing structure could
affect future building locations.
How-will the debris be disposed of? -4,4e � s ,
S
What is the use of the building being demolished?
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHO 41ZED 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-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered 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 issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtaining approval be made without first obtaining approval.
c
X Date r' CC X Date
Provide a plot plan indicating location of improvements and structure to be demolished.
'l
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amou t Due Receipt No.
DEPARTMENTAL REVIEW APPROVED PENIED CONDITION CODES
Building Department
Occ Grp Type of Const.
Planning Department
Fire Marshal
FEES
Building Permit Fee 00 Other
Violation Fee Other
Site Inspection Pre-Paid at Submittal ( )
T OTAL F EES