HomeMy WebLinkAboutMIS95-0126 ReRoof - MIS Permit / Conditions - 3/1/1995 I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 ...:S C: F= 1- 1 . A N FEE C3 L.1 Ea PERM 1 FOR INSPECTIONS CAL!_ 427•-9870
! MIS95-0126 PARCEL3322353100230 PLAT : / DIVt BLKt LOT :
JOB ADDRESfi r . . `('i �U --- L.�/U/h
APPI. 1 CANT v J IM G 11_L.I LAND 898-2990
! OWNER t J 1M G I1_L I LAND 698--2990
LEGAL i i if' OF F. 15' OF 1 125' Of 1,01 3 1 OF HIVAY II TIL FS 111738
PROJECT DESCRIPTION :
TEAR OFF 3—TAB COMP AND 1NSTALI.. NEW
PROJECT I. 00ATIONt
GO NORTHEAST PAST ALDE.RBROOK ON HIGHWAY 106 TO E 8941 H1Q14WAY 106 . HOME IS LIGHT BROWN IN
COLOR ON WATER SIDE .
PROJECT NOTES :
TYPE AMOUNT BY LATE RECEIPT
t._.1TJ�TIC_1...•at-'X�GTi.7.!Y��� l'RSK:�.f4CliC .isSi !/
STFE $- 4 .50 NJP 0:3/01 /95 38474
RERF $ 25 .00 NJP 03/01 /95 38474
TOTALt 29 .50 OW ER OR AGENT DATE
MIS �111', rev: 9�1/119't COMPL 1 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 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
AO
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N0Ild111d11T
PERMIT
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MASON COUNTY
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Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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PERM i "T CUNE3 1 _1 1 c3NS
f
Case No . t MIS95-0126
` Fort JIM GILLILAND
Paget 1
f 1 ) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON
COUNTY REGULATIONS .
2) ALL CONSTRUCT N MUST ME OR EXCEED ALL. LOCAL, CODES AND UBC
REQUIREMENT
X
II'
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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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
i
MIS _
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner 2 Fire District#
cT Phone#
Site Address S cvjy#( g' /®Q City OAA Ja&l
Mail Address Sf}mE
City (litl/D/J St Zip
Applicant 56ASO64S AA& _ Phone# 4o'14 -
Applicant Address !!2 (� Q ff -�to
City St AIA Zip
Directions to Site: JtJ /
#2 Parcel No.
Legal Description kJ 1pQ eel 7cS- n-Z W J ZAS z_erT 3 A)'Dni�� t:-T 1)E" C� �4A/
#3 Indicale by circling the applicable source if any water is on or adjacent to the property site:
6water ke river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date �9Sr Project Completion Date
#5 Use of BuildiinglhE Describe proposed construction
'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 APPROV FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY
DATE DATE'—rIS-
i
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements Indicate directional b
Septic Systems Name of Fronting Street y
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
Q Do
0 1 1995
44EALTH SERVICES
FOR OFFICIAL,USE ONLY:Accepted by: Date:
EPARTM L REVIEW
FOR OFFI IAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $