HomeMy WebLinkAboutMIS92-0070 Demo - MIS Permit / Conditions - 8/14/1992 MASON COUNTY
-- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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
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MASON COUNTY
DEMOLITION APPLICATION
PLEASE PRINT
#1 Owner ;� F r Phone#
Site Address City Q,
Owner Address
Ci ty St Zip 9r v- . .�
Applicant s-WMX' Phone#
Applicant Address
Ci ty St Zip
#2 Parcel No. -
Legal Description
#3 How will the debris be disposed of?
#4 Use of building to be demolished? �"
#5 Any water on or adjacent to property: saltwater__ lake
river pond wetland seasonal runoff
other
Directions to Site: Tb Ta
L±f—plicant Signature: %'( 1.. Date:
Re turn application to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-967011-800-562-5628
There is no charge for this permit
FOR OFFICIAL USE OWLY: Accepted by: Date:
APPLICANT TO DRAW SITE PLAN BELOW
Show following on the si to plan
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Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems
Proposed Improvements Scale:
Name of Flanking Street Date:
Name of Fronting Street
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DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Proposal Proposal
Approved Denied
Planning:
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Building:
Other: