HomeMy WebLinkAboutMIS94-1016 Price Signs - MIS Permit / Conditions - 12/27/1994 — -------------
MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O, Box 186 Shelton, Washington 98584
MIS94- 11016 PAR ;EL t420122200090 PLAT : r) I V
J6B ADDRE'OS . N 11900 tl ,S . HIGHWAY 101 SHEITON
APPLICANT : AIRPORT GROCERY 426-2092
OWNFRs AIRPORT' GROCERY 426—2092
LFGAI, , TA 9 OF Of 11 [1 Fs 10251 8 k 167
PROJECI DF SCR I PT' I CAN
,
REPLACE E,XISTING TFXACO 11) PRICE SIGNS
PROJECT LOCATION -
APPROX ','. MILES NORTH OF CITY LIMITS ON HWY 101
v
PROJECT NOTES :
IDN
TYPE AMOUNT BY DATE RFCFIPT
PL(;K $ 6 .bO KS 12/27/94 38050
STFF $ 4 .50 KS 12127/94 38050
PAMT $ 16 .00 KS 12127/94 3SO50 --'j
A,
TOTAI : �7 .00 NFR i 01 'AG E N T DATF
Its poll, rev, 04/91192 COMPL I ANCE TO ATTACHED CONDITIONS IS
REQUIRED
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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by 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
rtk tt
MASO COU TY 10 Mls
u
MISCELLANEOUS PERMIT APPLICATION
�o
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Ow er Phone# ' Fire District#
Site Addre s i City n+�O� q9S&_ :
Mail Address
City St Zip
Applicant Phone# ZUb 3`l3 %�5
Applicant Address�� ��
City-3 �- F �' �v St �� Zip QFS�C)
Directions to Site:iN,oc, C�`� `� C
#2 Aarcel No. -�al Descripti n
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river ccreek stream pond wetland seasonal runoff marsh other
#4 Project Start Date f V t'o Project Completion Date Z L*'s Tt�i 04-'AA
#5 Use of Buildiing Describe proposed construction ,
sm
�
`Depending upon the type of permit,a floor plan and plot plan may be required.
'This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO RANGES SHALL BE MADE WITHOUT FIRST
G WITHOUT FIRSTOBTAINING APPROVAL FROM THE BUILD- OBTAINI P ROV FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY
DATE DATF__J 4
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc..
PLOT PLAN AREA
FOR OFFICIALIUSE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
MKS
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $ c; 7, e
1
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
�/,�2V195
TO: jvpoly 040&�
90() �/t)044 /0/ /V`
�h ca&�) �- �gn5�y
RE: Permit Number
To Whom It May Concern;
During a recent review of our files, it was determined that your permit
may meet one of the following criteria:
1 . Permit is expired and needs to be renewed or have a final inspection
2. Due to the type of your permit and scope of work it is possible that
the work has been completed and it needs to be inspected to close
the permit
or
3. The permit is ready to expire and needs to be inspected or an
extension needs to be requested.
Permits are valid for 180 days from the date of issue to the inspection
date and remain valid for 180 days between each required inspection.
If our records are inaccurate and you have had a final inspection, please
send a copy of the signed off permit to this office so that we can update our
cards. If you have not had a final inspection and your permit is expired or will
expire within 30 days, please contact this office for a final
a inspection, update// P
Inspection or extension prior to / '-�"/95to avoid renewal fees.
All permits which are expired or due to expire within the next 30 days will
become null and void if contact is not made with our f o flce.
If you should have any questions regarding permit validity or the purpose
of this notification, please contact the building department for clarification.
Sincerely,
Building Department
cc: Property File
i
CUSTOM ELECTRICAL ADVERTISING
1533 SHOREWOOD DRIVE • P.O. BOX C WYCOFF STATION • BREMERTON, WA 98312
HANSON Dec. 6th, 1994
SIGNS iNC.
To whom it may concern,
Please find the attached information for the new two pole Texaco I.D.
and price sign. This new display fits the national Texaco image
requirements. Please note the new display is to be installed directly next
to the existing Texaco pole sign (approx. 5' south) . All of the display
installed and maintained on private property. Please call if there is any
additional information needed to process this application.
Sincerely,
Randy Qn s'o4n
373-6015
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