HomeMy WebLinkAboutCOM2014-00022 - SPI Application - 3/3/2014 4 � =
MASON COUNTY
PRE-INSPECTION APPLICATION
426 W. Cedar/P.O. Box 279, Shelton, WA 98584 . 360-427-9670 ext. 352
$73.00 Fee Required prior to Inspection
PLEASE PRINT
#1. Owner ( f l ,j Daytime Phone# 9&(J a _
Site Address City
Mailing Address
City St Zip
Applicant
Address
City St Zip
#2. Parcel No. iRAnB
Legal Description
#3. Purpose of Pre-Inspection
94. Use of Building L11prR .4 AA�i fL,r tiloY- -fin 3 j �
�&"CL 1 Y_a..-Va re.1 cef Ede s �'6ISrt s CA w10
#5. Indicate by circling the applicable source if any water is on or adjacent to subject property:
• Saltwater•Lake • Stream • Marsh • River• Pond • Wetland • Seasonal Runoff• Other
Directions to Site:
I 4E ORftlq-?�A5 _Dr . Rel:�Al1t
Show following on the site plan below: Lot Dimensions,Existing Structures, Structure Setbacks,Water Lines, Septic
Systems,Flood Zones,Wells, Shorelines,Easements,Name of Flanking&Frontage Streets.
Indicate direction by N, S,E,W,etc
Applicant Signiture Date
I:\CommunityDevelopment\Building\Buil dingPreinspection
r�
FOR OFFICIAL USE ONLY Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Special Conditions
1:\Commun ityDevelopment\B ui I ding\Bui I dingPre inspection
3/21/2014
Case Activity Listing 4:36:3NN4
Case #: COM2014-00022
i
1 Assigned Done
Date I Date 2r ate 3 Hold Disp To By Updated Updated 6y
COMA010 Application Received 3/3/2014 3/3/2014 None DONE I 3/3/2014 .1AV
COMA100 Approved for Issuance 3/3/2014 None DONE TW 3/3/2014 l'W
COMC50 Pre-Site Inspection 3/6/2014 3/6/2014 None DONE LAW 3/6/2014 LAW
I met with Tim Wing to go over what might be required for the boys and girls club to move into the Admin.building.
Page 1 of I CaseActiviry..rpt