HomeMy WebLinkAboutMIS97-0149 - MIS Permit / Conditions - 3/26/1997 Xo0
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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
FRAMING date by date by
date b Walls FIRE DEPT.
y date b
PLUMBING date by OTHER y
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
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I CONCRETE MECHANICAL
MOBILE HOME
Footings-Setback date by Ribbons
I date by Gas Piping date b
Foundation Walls date by Set Up
I date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
date
by Walls FIRE DEPT.
date b
PLUMBING date by OTHER y
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
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? MASON COUNTY MI
q�d ,BAR s I99
PRE-INSPECTION APPLICATION
Ci -7J" V. Cedar/P.O. Box 186, Shelton, WA 98584 .427-9670
\L d~ $33.00 Fee Required prior to inspection
PLEASE PRINT 2
#1 Owner `,�Cc- n J
ctb'e- Phone &o - q3o?-
Site Address _,Z�_z 'E parr 4 y7it!�_ City `h cJ7-6Y1
Mail Address _5c4m >=
City skc�/I-m St Z>1 a S - Zip
Applicant Tu �C-e- V C n c 161 t_- Phone#
Applicant Address Pi Lltn C _
City St5 Zip 9 �5 y
#2 Parcel No.
Legal Description V' K- 1 o 0 0
t
#3 Purpose of Pre-Inspection u i l�_Q vtC�L
#4 Use of building
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#5 Indicate by circling the applicable source if any water is on or adjacent to subject property:
saltwater lake creek stream marsh river pond wetland seasonal runoff other
Directions to Site:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
Applicant Signature
xee t� Date :3
FOR OFFICIAL USE ONLY: Accepted by:; iii Date:
j Receipt No. Referred To r
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
FPro
posal Proposal
roved Denied
Planning:
Building:
Fire Marshal:
Special Conditions
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