HomeMy WebLinkAboutMIS93-0029 - MIS Permit / Conditions - 2/17/1993 Q
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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 FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING 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
Permit No.-aL°T�J'�—��0 6-
MASON COUNTY
BUILDING PERMIT APPLICATION n,,l f s n
PLEASE PRINT rl
#1 Owner-- 1 kMc' Pap-SONS Phone# '�o�
Site Address LA)ESTWI-M J LAup
Cit 70 ti State WPt Zip
Directions to Job Site � \-
vs , rt ��.
Owner Mailing Address O a-
City k Q0CG PO 2T State Zip
Lien/Title Holder Me-A-U �T �
Address_
City_ '�:-e 07T5 ac'c- State!zzo/UA Zip
#2 Contractor Name Contractor Reg #
Address Expiration Date_
City State Zip _Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
(If residential, pr of o potable w t ay be re i ed_ )_
#4 Parcel No. - -
Legal Description
#5 Building Square Footage: (existing/proposed)V4
1st F1 , (Q / 2nd / 3rd Fl / Loft /
Basement eck #Bedrooms / _#Bathrooms /
Garage Carport / (Circle: Attached or Detached?)
Other sq ft_ /
#6 Use of building M()R11 .E k)rhJC ulescribe work �/�W �C-70,fl
#7 Type of Job: New. Add Alt Repair- Demolition
_ Re-roof Bulkhead Other_
#8 -Mobile Home Information T n oo(A L I N(j
Model Year I q Make Model �' o 0)*DQ t,
Length S 2 Width a lY" Serial No. l - 12
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: Saltwater _Lake River
Pond Wetland Seasonal runoff Other