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Fail Date Cate ®acne BY Ccmments40 0 ✓w j► �Z /3 J i J3 Lok— c00o v � hAS 6 . �i� d /i/�e �. a O a 0 N O N fD 3 N (L� (D 0 ► 9 Permit# Lee q MASON COUNT BUILDING III 426 W. EDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORREC N07wiCE Job Location QI /1 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance �✓rti�� to v'f vl CS� JCL Z440S G.►c TeGft ✓� S r L.ess v ✓ .s. S tee-c,� a e i I d„,, Be- ;, ,Lc� W r T�L%�U,.� Vim,-z'�. ✓�-�!,�,✓`�.- You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing J Make corrections, items will be checked on next inspection regarding g p optact our office ❑ OK to g ossible structural damage incurred by recent ❑This is not a complete inspection "natural/man made" disasters.This is NOT a Date j Department CORRECTION NOTICE. Inspector Li� DO NOT REMOVE THIS TAG s�sp� CC) MASON COUNTY PERMIT NO. �2G«- Q DEPARTMENT OF COMMUNITY DEVELOPMENT �(O$ t BUILDING•PLANNING.FIRE MARSHAL _- — WWW.CO.MASON.WA.US (360)427-9670 Shelton ext 352 Mason Cou ty Bldg. III,426 West Cedar Street �ssa PO Box 279, Shelton, WA 98584 (360)275 4467 Belfair ext. 352 (360)482-5269 Elma ext. 52 BUILDING PERMIT APPLICATION OWNER INFORMATIONk CONTRAC OR INFORMATION S NAME: NAME: MAILING ADDRESS: ?; i -" �/a f2 P,^ MAILING DRESS: CITY: S kk� /� rti STATE: (Jc,- ZIP: `7 'y CITY: PHONE.3L•,c-YkO 7L-Cc STATE: gyp: CELL: '?&o 7-c7 y;; PHONE: CELL:EMAIL: EMAIL, L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) -I�-OIZ 5 OQQ 1 LEGAL DESCRIPTION(ABREVIATED) : FIRE DISTRI T SITE ADDRESS / F/ I G(_,fC)C1lcz ci -D DIRECTIONS TO SITE ADDRESS CITY ` L C— IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GRE R THAN 14% YES❑ O TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION[' REP ❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) IS USE: PRIMARY ❑ SEASONAL ❑ NUMBER OF B DROOMS DESCRIBE WORK NUMBER OF BATH t�,,. � , -fit./' ,�%�� "� %� :/�✓- X c SQUARE FOOTAGE: 1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR DECK sq.ft. COVERED DECK sq. ft. BASEMENT sq.ft. GARAGE sq.ft. STORAGE q.ft. OTHER sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq. ft..ATTACHED ❑ DETACHED ❑ FW;IDTH7 ACTURED HOME INFORMATION: *4 COPIES F THE FLOOR PLAN MODEL YEAR 7ER MS BATHS LENGTH SE NUMBER UILDges submission of inaccurate information may result in stop work order or permit re ovation.emenignature below. I declare that I am the owner,owners gal representative, or contra or. I further I am ve this permit and to do the work as proposed. I have tained permission from all th necessary ding amenholder or parties of interest regarding this project.The ner or authorized agent rep sents that the information provided is accurate and grants employees of Mason County access to the ove described property and tructure(s)for review and inspection.This permit/application becomes null&void if work or authorized onstruction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTIN ATION OF WORK IS BY MEEANS OF INSPECTlgN.IN,, irTY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV LIDATE THE AP PLICATIO N. X -�S� Signature df Applicant 5� / X--- �/Vr, Se"(- 'er Date Pnnt Name OWNER / R PRESENTATIVE /CO TRACTOR (CIRCLE TO INDICATE) DEPARTIVLENTAL.REVIEW.'. APPROVED DATE DENIED D E TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 3ov � e PLANNING DEPARTMENT FIRE MARSHAL Drc/ S-- F � l i I k / 3 `� '/ -}- O _ C •?.. w � �. � . ?�'�L I I M ` ' J �C Q � k �' I �... i 5 �. 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