HomeMy WebLinkAboutMIS96-0409 - MIS Permit / Conditions - 8/1/1996 J
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CONCRETE MECHANICAL
Footings-Setba- MOBILE HOME
dater.' date by Ribbons
by Gas Piping
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Foundation Walls date b
date by date by Set Up BG/SLAB Insulation INSULATION date by
date by Floors Final
FRAMING date by date by
date by Walls FIRE DEPT.
PLUMBING date by date by
Groundwork Attic OTHER
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date byI date b
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Permit.No.
MASON COUNTY
BUILDING PERMIT APPLICATION Oct-04q cl3S
r 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1=800-562-56 � J
PLEASE PRINT
*_ SC!i1ty
wner - == rl �r�rA�r ��-»,� T f-s Z-.�e .._Phone# - S
te Address Fire District# l
-- St Zip
Directions to Job Site 19 y 7-5AJ — z G o c>r P , /� z L ZO S
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Owner Mailing Address 0
City St G)&. Zip
Lien/Title Holder -744 S
Address
Clt e5n �rrc StQ, Zip
Y �..
#2 Contractor Name46__2tj [NT- )r v rror- 1c Contractor Reg # z LD
Address 1� U iZ r�� �,5;-41 Expiration Date
city St(. Zip 9R sS!j Phone# 41- ,'26 a 7
#3 If septic is located on project site, include records.
Connect to Septic? L��Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
44 bOq
#4 Pari"el No. V,2CY_.>S- -1 `Z
Legal Description 1 rr l bg C'yd62T 15LtO rrrc>r-m zQA-S 728 RG�og�xzn rA_� 264. / 01=
*H&p_T PcATS �G !�_1�;' RU1Ji5 rrLE C9dt�e_fi
#5 Building Square Footage: (existing/proposed)
1st FI /a 2nd FI 1 73 3rd FI / Loft /
Basement / Deck / #bedrooms /��_#bathrooms / 1� 5,
Garage / (�Carport / (Circle:Attached r Detached?)
Other sq. ft. /
#6 Use of building 6 t2j L - Describe wo
y l
/ 0
#7 Type of Job: New l/ Add Alt Repair
a �
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:.-
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff
- 6 „x1s "�a0t �
GARY YANDO,DIRECTOR
�N.STATFO�
o P MA O DEPARTMENT OF COMMUNITY DEVELOPMENT
N
o N z PLANNING - SOLID WASTE - UTILITIES
2 N Y Y BLDG. I • 411 N. 5TH ST. • P.O. BOX 578
�0 � SHELTON,WA'98584 • (360) 427-9670
1864
July 8, 1996
Ace Building Services
PO Box 452
Shelton, WA 98584
Re: Permit no. : BLD96-0761, Residence and MIS96-0409, Foundation
only, both at W 61 Palomino Place
Dear Ace Building Supply:
We have been unable to reach you at the phone number on your
permit, please contact us with' a daytime number and contact name.
Review of your permit application shows that your proposed
development lies within a highly critical aquifer recharge area as
defined and identified under, Chapter 17. 01 . 080 of the Mason County.
Interim Resource Ordinance.
In order to protect the public health and safety, prevent the
degradation of groundwater aquifers used for potable water, and to
provide for regulations that prevent and control risks to the
degradation of groundwater aquifers, Mason County has adopted
standards for development in those parts of the county which have
been identified as critical aquifer recharge areas .
Prior to permit approval it is a requirement that the legal owner
of the property execute a Title Notification of Aquifer Recharge
Area and record it with the Mason County Auditor' s office. A blank
Title Notification form is enclosed for your use.
1 . Complete the enclosed form, having the signature notarized.
2 . Record the document (including site plan) with Mason County
Auditor' s office; at the same time, obtain a copy of the
recorded document .
3 . Turn in the recorded COPY to the Planning Department for
retention in our files .
In the meantime your permit application will continue to be
reviewed by other departments . If you have any questions about
this process, please feel free to. contact me at (360) 427-9670
extension 294 .
Sincer ly,
Pam Be nett-Cumming
Land Use Planner
encl : Title Notification of Aquifer Recharge Area
Recycled 0
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