HomeMy WebLinkAboutMIS98-0475 - MIS Permit / Conditions - 9/2/1998 X
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CONCRETE
Footings-Setback MECHANICAL
date MOBILE HOME
date by by Ribbons
Foundation Walls Gas Piping date
date by date Set b b
INSULATION Up
BG/SLAB Insulation date b
date by Floors Final Y
FRAMING date by date by
date by Walls FIRE DEPT.
PLUMBING date by date b
Groundwork Attic OTHER Y
date b date by
D.W.V. WALLBOARD NAILING
date by date b
Water Line FINAL INSPECTION Y
date
by date
date by
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FORM MUST BE COMPLETED IN INK PERMIT NO.: MIS [
PLEASE PRESS HARD MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 9 584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-52 9 Seattle 206 464-6968
[LAddress
INF RMATION CONTRALTO INFORMATION
Contractor Nar> e
�' Mailing Addres
State Lip Code.
es �— ��r1 �7"} r�" � Cit
City
State Zip Code �I cY5' � Y
��-� Oth��h.( _ Other Ph.(_�
%�,���r 5 r�� �r/in �� Contractor Re . #
lder / Expiration
/ Fire District
PARCEL INFORMATION-12 digit Tax Parcel No.4 2
Legal Description ��► �� I
Site Address(include street name and city
Directions to site:
Will timber be cut and sold in parcel preparation? (Yes/No) fi2 Saltwater
Is your property within 200' of the following: Body of Water(Nameona Run ff Stream Slopes or
Lake River/Creek Pond Wetland
Bluffs
TYPE OF JOB New Add Alt Repair .. Other Use f Building
Describe proposed construction d
Re lacement Repair Expansion
SHORELINE PROJECTS New p Length Height
Bulkhead Material (concrete, rock,wood, etc.)
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
UCTINOTICE: THIS PERMIT BECOMES S SUSPENDED OR ABANDONED FOR A PERIOD OF0180 DAYS AT ANY TIME AFTER THE WORK IS COM]]e
Ints
th
NAUTH ZIZED IS NOT COMMENCED WITHIN 180 DAYS OR the
F
CONSTRUCTION WORKnt on owner's
PROOF IF Cf,represents
ONTINUAS 10 c OF WORK
aOnd grans emEANS ployees of MasF A O nRComy access to the above described property and structures l the
thaand
information provided
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-[certify that I am currentd as a
contractor i the State of Washington and that I am awar
the Contractor Registration Law RCW 18.27 and am aware of the ordinance11
equirements regulating the work for which thissuedordinance requirements for which this permit is issued and that all workll will be done in conformance therewith. No changes shall be made without and all w rk sh l fbe obtaining of o ovalce therewbe ith. Nohafirst obtainjpg approval.
Z cXDat —
X Date 0
FOR OFFICIAL USE BEYOND HIS POINT. ( � Receipt No._//
Accepted by
i Date/ Submittal Amou Due
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Gr Type of Const.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee
Site Inspection
Plan Review Fee
Other
Other
UFC Plan Review Fee
Violation Fee Pre-Paid at Sub ittal (
p TOT AL FEES
BREMERTON MORTGAGE COMPANY, Inc. '
— Mortgage Brokers —
PENINSULA ESCROW COMPANY, Inc.
— Bonded Escrow Agents —
245 FOURTH ST. BUILDING
BREMERTON, WASHINGTON 98310
TELEPHONE ESsex 3-2517
October 17, 1966
Mason County Health Department
Division of Sanitation
6th. & Railroad
Shelton, Washington
Gentlemen:
We have been requested by the FHA' to provide evidence
that the local health authorities have approved the sewage
disposal installation on the following described property..
Lot 32, Woodland Manor, according to plat in Mason County.
The house is new and was built by Mr. Kenneth McClary of Westgage
Builders in Olympia. The veteran purchaser is James V. Beacraft
The house is one story, single family frame dwelling with 6 rooms
and 1 bath The mailing address of said property is No. 32
Woodland Manor, Shelton, Washington
We would appreciate a letter comp ying with the VA
requirements as soon as possible. If yo need further information
please give us a call. Thank you for yo r cooperation in this
matter.
Very truly yours,
BREMERTON MORTGAGE COMPANY, INC.
onnie Stewart