HomeMy WebLinkAbout30 x 16 Deck Over Shoreline - BLD Inspections - 7/1/2011 Case Number: CC.% �0�
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Mason County Investigation Report Form
Parcel Number: .. //,,�� _ ll
Violation Site Address: QQ�y Le.� 4-/
Property Owner(s): _ �/� �r t502/ 7?)Phone#:
Mailing Address: �Q e 3x SS'� the/Ae??
Tenant/Contractor/Operator on site: .......................... _....... ...... _............._.........._......._........_.................-........._........._............_...._...---._..._.............._..._....__....................................._.._................_........_......................._.
Directions to Site:
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Description of Concern: _.___...,.'DeGl .__ ._.___ / /ILA
I�!/..-................-....__.... ....---.....---._..._......_.._ ... ..........
Under the provisions of the Public Disclosure Law, RCW 42.56.240, the complainant may indicate a desire
for disclosure or non-disclosure of their identity. If non-disclosure is chosen, this portion of this form will
not be released to the public unless this case is filed in court. If filed,your name will be disclosed if you are
a witness in the case.
Mason County investigates possible violations on a complaint basis only. Therefore,the name of the person filing Q
the complaint should be provided. C
Please check one of the following:
❑ Please do not disclose m identity. I understand that distP
may red b court order or if this
y y q y
matter goes to court. d
❑ You may disclose my identity. 1
O�
Name(please print): one: ( )
Address: 44 �p
Street ty State Zip f�
Signature of Complainan Date: 4
1
THIS SECTION FOR MASON COUNTY USE ONLY `4
Complaint Received by: Date:
Complaint Received by: .'hone ❑ Email ❑ Web Site ❑ In Person �
Department of Concern: Building Planning ❑ Fire ❑ Public Works
r_VEnvironmental Health: ❑ Solid ❑ On-site ❑ Wells ❑ Food ❑ Other
Investigation Date and Findings:
1 I
0
Date Closed: 11 I 124 Reason Closed: I ova I� Initials:
PermitA- t^7-t�, - MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location '� 0 6 4:AJ u"`a 1-tA .
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
C i✓ vt.,e- S -7- -All
601'"'f!46-11 f dvu I , it
Z l VS �a 1�50 sum,
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
❑This iiss/not a complete inspection disasters.This is NOT a
Date �� Department I�1J CORRECTION NOTICE.
Inspector a ,
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CORRECTION NOTICE
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DO NOT REMOVE THIS TAG
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05/18/201 1 05/18/2011
CORRECTION NOTICE
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DO.NOT REMOVE THIS :AG
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