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HomeMy WebLinkAboutMIS93-0665 Demo - MIS Permit / Conditions - 10/26/1993 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M JE S G E 1_ 1— A 14 E Q U S P E I;t M 1E T FOR INSPL, i iuO t_ I_ 4L�-9670 MIS93-0665 PARCEL : 322334400040 PLAT : DIV: BLK : LOT : JOB ADDRESS : E 7362 HWY 106 . . . . . . . . UNION APPLICANT JOHN NORDSTROM 898-4200 OWNER ° JOHN NORDSTROM 898-4200 L E G A L : 9112 60VT LOT i EX TAX 683C EX 669C EX SEE SURVEY 9/51 FS 11513 PROJECT DESCRIPTION : VOLUNTARY DEMOLITION PROJECT LOCATION : 1/4 MILE EAST OF ALDERBROOK PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT DEMO $ 25 . 00 KS 10/26/93 34312 TOTAL : 25 . 00 / 0 R AR AGENT MIS PRMT, rev: 14111/92 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Il:::a' II:: If;;!' H'n'll ':II:: ..N... 117 1I::11 N'4 n::u ::II::: ..:�... :N:: tl:::;h p'a,ll Case No . : MIS93-0665 For : 1OHN NORDSTROM Page : 1 1 ) All construction and demolition debris must be removed from the beach after project . completion . 2 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C) AND ' SECTION 513 , ALL SITES MUST HAVE 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 SITF INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNS CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I N S P E C S . X 3 ) THE D OLITIO . AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS . H MASON COUNTY DEMOLITION APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT c� q #1 Owner C _Y �S�"f& Phone# 69a(" 9 ! S e-1 a�d Site Address '' 3 Co t t cl�,.vcs y (b City LA-L'yc Mail Address ��lts(Yl e .b . r6CA tb on to City St Zip Applicant � �� �mS 1✓�'�' Phone # 0;-4 Applicant Address City , Co St Zip Y'y - do co'+v #2 Parcel No. '3.2.2 33 - 1m - 6?OC9q O Legal Description Val �/a Aou f- lob'1 EX, T-w X (o 83C. EX (VIOCIc, �x ,"I E 'Vrvz4J 4/5 #3 How will the debris be disposed of? #4 Use of building to be demolished? /LJ ew ff®�,�5 c ©7 #5 Indicate by circling the applicable source if any water is on or adjacent to the property: saltwater marsh lake river pond wetland seasonal runoff other Directions to Site: #6 Project Start Date - 3� Project Completion Date 'Upon completion of demolition, owner must call for final inspection. *Plot plan on back side of this paper must be completed. DEMOLITION PERMIT FEES 25.00_D ARY DEMOLITION $40.00 ABATEMENT ORDER 'Make checks/money orders payable to Mason County Treasurer and sumbit to Mason County Building Department for processing. 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. all 6� 3 � c '� 3M Applicant Signature Date: FOR OFFICIAL USE ONLY: A cepted by: Date: j i Receipt No. Amount Paid i - DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal: