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G / b 7 2 \ go 2 7 � § � o ] / > (n CD 4 , q } / k \ j CL - ° (n = m / = a e CD \ IQ 00 2722E . _ \ \ a\ } ( & = / { § a Z » o CD K5. ^ \ \ \ \/ _ ° ° CD 0 o § 0 CD 3 \ \ 0 \ � k0 a \ } 8 \ CD cD ) _ - _ \ \ / \ � \ J Dzy co\ CD ~ } 2 = � e § CD -0 \ - n \ / \ \ % 22 \ o _ \ \ * j \0X s . < cn - / E R \E . / / \ ? 7 \ = = o \ / 2 agD \ / � moo & 4 § \ /0 F, cn kk 0 =3 \ 00 w � / \ o E CD cn 0 r o CONCRETE MECHANICAL MANUFACTURED HOME � Footings I Setbacks Date B y Ribbons Date By Gas Piping Date By Foundation Walls Date By Set.-up Date By INSULATION Date B y S G 1 Slab Insulation Floors Final Date By Date B y Crate B y FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION I'iat.er Line Date By Date / /By Date By m m 0 s m 0 0 r � d � o N g O O O d S N (D ti FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. yG PLEASE PRESS HARD BUILDING PERMIT APPLIOATI®N g-vr'�1 � 426 W. Cedar • P.O. Box 186, Shelton, VNA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 Elma (360) 482-5269 i On the web www.co.mason.wa.�us APPLICANT INFORMATION CONTRACTC 113 INFORMATION Owner L+^ Company Na e i`�I .A<r (' v � Mailing Address o' 1< L 0 Mailin Ad r 0 s P .2)71 City-> P1 �f,- State L✓A Zip Code ��'� City sL i State 1AZA Zip Code 2 YC Phone 'l-N `7 Q Other Ph. Phone -7 .;� Other Ph. Lien/Title Holder Contractor Rig.# Exp. E mail address E Mail Addre t�.l( 1\I C j `I 2& f: 7 Drivers Lic.#_ DOB I Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System S Well Water System Name of Water ystem "' PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include str et name, street number and 1tyl Directions to site �' Ilk Will timber be cut and sold in parcel preparation?Yes /No Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or BI fs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Y /N TYPE OF JOB - New Add Alt__ Repair_ ther PRIMARY RESIDENCE '© SE AL ❑ Use of Building.., e c, Describe Work No. of Bedrooms No. of Bathrooms Square Footage - 1 st F oor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of BeBrooms No.of Bathrooms Type of Heat_ Purchase Price $ _ Replacement Unit? Yes/ No Installer Name Cer i I fication No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner.;'leggal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the,application.I declare that I have obtained the permis- sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica tion or the�priopq ed in pplication, I have obtained permission from them to a1pply for this permit and conduct the work proposed. X �''L Date: Owner/Owners Representative/rontractor indicate which one) FOR OFFICIAL USE BEYOND TH POINT Accepted by: _Planning Pd_ Ck# _Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department F Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins e ion Plan Review Fee EH Revie ee Plumbing & Base Fee Plannin view Fee Mechanical & Base fee Other [WLoocl /Gas/ Pellet Stove Fee State Fee `violation Fee Pre-Paid Submittal + TOTAL F S ion $