HomeMy WebLinkAboutMIS98-0674 Pre Inspection - MIS Permit / Conditions - 12/7/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I S C E L L A N E O U S P E R M I T FOR INSPECTIONS CALL 427-9670
MIS98-0674 PARCEL :42O1222OO12O PLAT : DIV : BLK : LOT :
JOB ADDRESS : 1540 E SHELTON SPRINGS RD SHELTON
APPLICANT : WILLIAM HALL
OWNER : WILLIAM HALL
LEGAL : TR 12 OF NM N1 EX
PROJECT DESCRIPTION :
PRE— INSPECTION . POSTED DO NOT OCCUPY
PROJECT LOCATION :
OUT OF TOWN ON 101 , TURN RIGHT AT THE AIRPORT GROCERY , FIRST HOUSE ON LEFT PAST BLEVINS RD,
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
PSIN $ 42 .00 KS 12 /07/98 49007
J
TOTAL : 42 .00 OWNER OR AGENT DATE
VIS—PRAT, rev: 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E R M I T C O N U I T 1 O N S
Case No . : MIS98-0674
For : WILLIAM HALL
Page : 1
1 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKED WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE . BASED
ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNS C TRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
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1
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MIS
MASON COUNTY
PRE-INSPECTION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
$34.00 Fee Required prior to inspection
PLEASE PRINT
#1 Owner I(i ao.- t E Phone# .3 6ri -Vo' 46 a-b
Site Address j5Vc) cat^ �v, s reel City
Mail Address SE 8/oo rn f Ed
City � IM1�e ( ` ', St (krA Zip_
Applicant Phone# N;5/oa-(/a-7-SG70 ZuT Y�!6)
Applicant Address 5 fkJoa�
City 4, St Zip
#2 Parcel No. �'-xC)/a, - p--�' - 66/'9'tJ
Legal Description -7-F /,;Z 0� /V(Ji /V U J t >(
#3 Purpose of Pre-Inspection P-a 4,J - &.0 r-,u4 G CCC_,c,p4�
#4 Use of building
#5 Indicate by circling the applicable source if any water is on or adjacent to subject property:
Y
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 Date
FOR OFFICIAL USE ONLY: Accepted by: Date: •
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Special Conditions