HomeMy WebLinkAboutBLD94-1544 Window Replacement - BLD Permit / Conditions - 12/8/1994------------------
MASON COUNTY
' Mason County Bldg. III 426 W. Cedar PERMIT
P,O. Box 186 Shelton, Washington 98584 NULL & VOID BY EX TONDAT11 AZL-4z BY
1 1 4?f 6 10
1! ! i.ii I t"1 +„,!tt r`1I!1 Hr"l111 4.11 7i162
IRLD94-1844 , I-'tikl.t-( 1. 'N,"1 1 o 0 1'I it I II I V lit r " t !11
tali i1nD11F ' W 14 17M Kill 14F1- 111*0N
r11.IPal k Mt_ RV SF 1 rl I-
r.r)N1F:141, II11t
l t:llAl tit!? St SU Sf I': 186w4�f1
i 1
! 1 11'ti', 1)i G.I,)frf PIi 11 !;� t�i, r! Itrt I it I'fl'f ANuIIN{ NY I!i!It P11111°1 111'1 hNuuNl R'i TIM WTI PI)
TYPEOF I1ti1 .. i „k I t m �-� „,.�, �� rx..� �� .. �._ -, , �-.-:••--Y.m•.:--,,�,� -�
rW,;lIf' (11,Wit Fit fill iIi 11111 PHMi S 1h !11 P , 1 IAHfQ4 il'I"of
1 `,'}>! I�i , tt►4'. I i I' I t,+ '. tilFf I 4 +,A P`, 1 '1091,14 (11'4 1f
iWIl i I IIN I { H+! ',I is) 1
N';l'I I 1 I r!i`I i11 t is {111i:1 I I t11 Pd ; 11!fill P ,,A slWI IIIIN• Al
F 1 HA",I` 1 11 1 I i i ` 41 1111 ( i ,'I'! till I I 1 1. !r r1t41, - p'i11it 1 1 1 11!IMt
F I'(0 N 1 t I Ii It I I I H it`, 1 W, b1 4i t Ill" it
{tI J11i 0 r91 1 His, 111 1 Illi`, < 1 ', Ill' 41 I+trilil I
1111 1 1 ! 0 t 1 `,{f1-1111 It', 0 1 IlkH 1 4t49F it 1 ++ 4+ tit itI t
0 4+ { 1 l lit I I N tit r! i 1 11 4a i III i{ 1 HNt la 1 11 4, I,it If: i!
:lift i t P)1 0 0 1 t 1 tilr(tl 1,it 1 111 4! t i11i
(A1't i1 t t i + ill N I r!F
1 i! I` 1;'1 1 1 Mik 01;1! 1 N`, N V1 fd 1 , - 11 11 41 t `"t1f' 111u1 t I<' Li 1 { N1+ flt 4+
IM i I U t Id1, . ) . 1 life 1 iVt 1 I•Ii; I ,Ii►PI I ty Vt N I I h1`4 A 111 I) i it rr)
1) t-MI N 1 0 1 1 0 11,'Ib11 1 Pi+ f P.f c+ i } t ril #
Ili I P; `3 . 0 1 11 1 '",ili-th"Iil h`, N 111 k 1IM4111 i N1i lit•I i I `; t rtt4Ml I III I H 0
Gill' �r wei, 0 1 t1t11'il It i ,I'{I'.+y! N 10000 fill 41 I'I' I ill Ill 1'11 I I{ 4A
J1 f !t1 f 11{� I Mrtl 0 t 0000 r 1 to 0 ++ f It 1, lit.l I i N
i M I I x I I,,t, '; 41 r1`; lrll 1 1 1 1
__-z,.,:�-.�-�:���:-.-„-=�•_--�=-.-.�-;.r---�-_ -----<•--,-n-,..�-�,-:�---�-�---<--r-,..---g-•T_-�-,,,-<,,,,--><-,.ter-�..�-,.�-..<.._�.�,_..,_ .. _ _. _ -. --� .,M.---,:.-. _.. , ,_.
iRn,itfi Df'+IHIPII0.1,1iollow Rl Ill A' fofN1. AiIP HANillttP RANP ANA N�f RfSlomI AS A i(NPnRAPY vl'clinp� I foil 0 ill ! I+PANI'•i11NANl , fill .)lltil HANII uul NpillHORl ',
I'RA,irfF tACIIIIll#-SANF AS APURFSs
tHiS PIRNtt W11W N)111 ANU `-1li1P if 001 nR (WIFni fin11 AHf"ARl fit fs m Iilm0(to 41Ifflo IRA I1At". ,IR 11 ruN;lRilr IInN lip UuHK is 11104,P1NNfD tap A PtHlnf!
Of iN$ DAYS Al ANY i'iNf AIM 4491' IS t.NNNfN11H 1vlUfN11. OF IANi1NNA11AN OF U(1RP IS A PROW1,S WffIIInN illINiN 1Hf IN$ PAY PIFRiOD. fiNAi 1051,[l IIUN NUsl Bt
APPROM BffilRt BUItU1N6 LAN Bf ll(.LUPi(U,
11uNfR 1,� AetNi : , 0411
j
Rig PRNT" rPo! 01/41141 -- -- C.0M1)1 FANVf 10 AI II%CIII II C V ff jtjj i II1N'; 1`. ! 1411► tltl 11.
i
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 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
I
I
I
i
I
I
'� I
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1.i•i n t•, N n li 1 11+1 11 - i r,ri 11
�.I It 1.1• „ .' I uu, - t ,1i ..il � i ; 4 fl- Ii ,`. .!I 'i!fit •; 1: •1 ! i IUr'rft ,+ )
Ilr7tl• •, t. Illr,f� ! tilt?Flllai Lnll ,:UI'ltri,` i' IriV ti.`Iliflrrll , MPo -,r)fi f ! ?` i -ti: t
i 0 , t;.xt s)'r1, (Ilt'ItAif Ar.t } ';c, ►
:,itrk i.t1,1 h o I I I d h1,4 ,II ( i i , ) .tilt I „I 11,)rino l),9r1 'i ll'I i ,r i 1 ': i r i t try Gt i i i +rtri
it+ dir . ,-tl, t,y Ina11<+fl .+•I it
linnd it a- ) : 1 a 1 1 ,, fl+rll L!i t>+,> �, i a ,.;liloo I'll ,. f i :<i It1 fi.,+ r> �rl l Ilr•ll i +i Iy r rillod
t ilY4-rit.,i i thrIit l ti,inittr l n t Jtr t:r,,.•.; r l'urrli t fl,i I f myl md.l ri,'1-1) I u„-, i ri 'rl1 t o 1,1 rrl,
lit i r(a,l
I ondi i .if)II I H(.IaI 'Ilfit'! fir'ifidiC'.op I,r-irl 711t1 Ill tl_*: 1_ (iw ni+'1 ri i" dill 1 m"ll111
It t )roil?oi arV I)++1•III i I ) i
\_it�ww I �+fll') ff�,� (11�, lrrl' h Inr,•.: s.Y +l ! s.r It�:�: I ,rtl r.rl i if hilt `:ca rr, ,al �• , I� i
1 1� 1 f 1 11 , 1 fi<,.,',,.: i I ,:lit f e:,,, f rl•
faml�tia� I i_ it ,)IIi 1,,.,I Ill t
F 11i( 1'I'ti i I` i t I I1N
i 1114(IV I Ill OW f 1 ') A I attic I?A 1 1, 1 1 1 RI 1 X I I Nf,ii I ';III k NI it AIi 1 1 1 Irfire
- J
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
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
t _
1 6qq
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner::�� Phone#_ ire District#
Site Address 0 ( City
Mail Address
City St Zip g,CLJR
Applicant .F' Phone#
Applicant Address
City ,�� St Zip
Directions to Site: V � '
#2 Parcel No. - - //---
Legal Description
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date t� �' �°' Project Completion Date O "�
#5 Use of Buildiing lDesc be proposed construction
i
'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 CHANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRSTOBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
IN DEPARTMENT. MENT.
WNER , X BY
ATE O DATE
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 OFFICIAL USE ONLY:Accepted by:. Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning 09 APP COND APP HOLD
D�3
Building �Jp
Fire Marshal
Other
Special Conditions Fees
b �
Permit Fee
Plan Check
Other
Other
State Building Fee
TOTAL DUE $ 0---