HomeMy WebLinkAboutMIS92-0081 Mobile Storage - MIS Permit / Conditions - 8/28/1992 MASON COUNTY
L 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 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
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MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
14 1 S9. -0081
k 1.1 y 14 (" 1. INI ON
o I,tv i.- only of M o b j I 11 14 mlio. No 0 c
to i p 4-.)r o c. rI o i-I y jjcnj� I,[) M o
ourld t.0 by -i o J i o I it i (.1 t I r.i 1 'i n y mo �'o 11 1111
R 1. t
P o f- 1 01 ri x III r I to
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
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 WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Permit No.BLO
MASON COUNTY
BUILDING PERMIT APPLICATION/� 1s
PLEASE PRINT
#1 Owner I v L
Site Address -
City UNia n St Zip 9r-§'-S 2-
-Directions to Job SituI=AV y 7--a Fi F F h ST 7a pi,V-Z
Owner Mailing Address i 7 .V
City v n - St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg#
Address Expiration date__f /
City St Zip Phone
#3 If septic is located on project site, include records .
Connect to Septic? Public Water Supply_ Well
(If residential, proof of potable water may be required)
#4 Parcel No.#3 2 :32-
Legal Des cr iption Lars 1,2-Z--r-2.3- C3 Lu c.k.7, pLaT DF Gs gj,g BA-P-U Aj e AI-
R A,I L I?O'A.D A b t) IT,a/✓ o/= 0 k1-r- C rTy
#5 Building Square Footage: (existing/proposed)
1st F1 / 2nd Fl / 3rd Fl I Loft /
Basement / : Deck 1 #bedrooms _ #bathrooms_
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft / J
#S Use of building _ Describe work
#7 Type of Job: New Add Alt Repair Demolition
Wocdstove Re-Roof Bulkhead Other
#8
MOBILE HOME INFORMATION
Model Year-_„7 _ Make Y 1 0 c E w,,o D Model . - 3 F
Length Width Serial No. D 91- 1 S/y v
#Bed_r
ooms #Bathrooms Type of Meat L,-- /a ► r
#9 Any water on or adjacent to property: saltwater lake_____,
river pcnd wet-and seasona" n=of=
other v
I
°w :tC110wing on the site plan
Lot Di_mensioris Flood Zones ,
Existing Structures Fences
Structure Setbacks Driveways
Water Nines Shorelines
Lrainage Plan Topography
Septic Systems wells
Proposed Improvements Easements
Name of Flanking Street Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELO
APPLICANT TO DRAW TOPOGRAPHY PROFILE BrT
If
venc Sys zerms X 3
^ C
- 3a 3as i=s ven ?a^s :� . 3 0 �_
_ ;
3a" 5 No. Boilers/Cc:pressors
Showers 0 -
� `5 � 5 C 0
-30 �
S i.:ks 3 0-S O �
F?ccr Dra;^a -- ---C-�
50 + EP
Bas S NO. Air Maadliag Uzi t
Dishwasher
<= 10000 cf=-
Disposal > 10000 c -
Uri:als Other
Other Evap Coolers
Hoods
Pe " Bpi` Fee --3- 04- Fire Surpressioa
TOTAL. PLUMBII�TG $ Domes . Zacin.
CAI - Iacin.
Reloc/Repair
Mec!:a^'_cal Fi Tt-oQ No. Fuel Types Gas Outlets % 2 .00
Fu PToodstoveD?=a
-� < LOOK BTU 6 . 00 Other
>- I O 0 K BTU 6 , 00
FUZZ= - Floor 6- og— PPr"71i t tic Fee 10 . 00
Heat Pualps 6. 00_ TOTAL XEcMu=cAL $
UMCp
A TBTS PER BECOMES NULL AND VOID IF WORK OR CONSTRUC�'IOM
IITHORI rZ'20 IS NOT COMITt�4��NCED WIT T ISO DAYS, OR IF CONSTRU=, ON OR WORE
IS SUSPENDED OR ABANDONED FOR A PERIOn OF ISO DAYS AT ANY rZM AF'rER WORE:
LS Cm 4mmczo
F
AF7=VZT THAT I AM EMPT MM THE NMIRE qEMOF TIEI CERTIFY TEAT I AM A
MMMMMT S REGISTRATION LAY IM13.ZT . Amc AM ANAtFi■ TRR{ STATE [F YAtIII=CI171 AIDREGIST I AN�E OF TME
Ca11TRACiasi CaA1TT �DiMA110E REatIREFETtT= Ft! u11i01 R!D[l1iWCE REQtIREMEItTS RfQLATIIK THE Vow POR NIiCR
IT IS IMJ . THAT WRXSMAL �tlEiEIMTIRE PERMIT IS ISslEO AAD ALL �o" M" HILLRIEI=
�EVtTH. MO OIa�S SHAD fE MADE C�F4pRANCE TRERAtITR.
FIRST ORTAINING AP"MAL FROM THE mUILOIHG =o CRA GU SHALL 6E MADE
T. YITNOItT FIRST MTAI=IMG AF' CNAL FRM THE SUIL21MG
0EtART1RIENT.
2 OWNER
=A= Z BY
--------------
DA"
R-e
w.
p D
pT"ff t to:
42 epa--�ent of General Se---vices
4Z6 PT. Ced -/P. C . Box 186, Shelton, PTA 98584
427-9670/1-800-562 - 5628
FOR OF?2CZ;LL USL ONLY: Accented bv: Oaze :
FOR OFFICE USE ONLY
Approved Cond mold
AOOrovel
Buildi=g Plan Review:
Occupancy Group:
Fire Marshall:
Other:
FEE-
N •
ISpecial Conditions: q gSite Inspection
a ona I a
n I! gBuilding Permit I a
a fl
II q gviolation Pee
n q I a
gViolatioa Investigation Fee I a
a a �
it q PPlan Check
II a PPlumbing Fee
� II I I a
II gMea"mical Fee
if II� I a
II II Ilwcodscove Fee
II II I I II
I
II II IIBu=ldi=c Stack Fee I II