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HomeMy WebLinkAboutMIS95-0607 Replace 2 Windows and 2 SSliding Doors - MIS Permit / Conditions - 8/11/1995r-- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I M I S C E L L A N E O U S P E R M I T -n^ INSPECTIONS CALL 427-9670 MIS95-0607 PARCEL : 123094100051 PLAT : ' iv : BLK : LOT : JOB ADDRESS : NE 3421 OLD BELFAIR HWY . BELFAIR APPLICANT : DALE LEATHERMAN 275-0831 OWNER : DALE A LEATHERMAN 275-0831 LEGAL : TR 5A OF N112 SE PROJECT DESCRIPTION : REPLACE 12 WINDOWS AND 2 SLIDING DOORS PROJECT LOCATION : GO SOUTH THRU BELFAIR ONTO THE OLD BELFAIR HWY . 3421 IS LOCATED JUST SOUTH OF THE INTERSECTION OF OLD BELFAIR HWY . AND THE BEAR CREEK / DEWATTO RD . IT 'S A GRAY HOUSE WITH A PAVED DRIVE OPPOSITE AND GRAVEL NAMED N .E . DUSTY RD . PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT � PRMT $ 15 .00 CPH 08/ 11 /95 39910 STFE $ 4 .50 CPH 08/ 11 /95 39910 ! TOTAL : 19 .50 JVV%4C ; 0 Aijc IV ! i MIS—PRMT, rev: 04/01192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM I T C O N D I T I O N S Case No . : MIS95-0607 For : DALE A LEATHERMAN Page : 1 1 ) 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 SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF n!^?,\,FRICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTION X 2 ) ALL P C EN BE A MINIMUM OF .40 U-VALUE OR LESS . x -- MISQ � 1 MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner Pho # f7S Fire District# Site Address 1�r 9('d4 wav City Mail Address 09 k L? City zt 14 "K St Zip Of Z29— � Applicant —6: S A 9,-n if Phone# Applicant Address City St Zip Directions to Site: a 0 JQAt_ Z&�- Wa 32�E_ ©L/� 1-FWIR lf4t/ J)K t u'L 0 p cr o Inc, ')ez #2 Parcel No. 1�3f`�l - - } S Legal Description T12- Al' #3 Indicate by circling the applicable source if any water is on or adjacent to the property site: saltwater lake river creek stream pond wetland seasonal runoff marsh other #4 Project Start Date R11221 S Project Completion Date Tiff #5 Use of Buildiing Describe proposed construction Tc� GUts�T� A S `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 APPROVALFROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMENT. MENT. r X OWNER X BY DATE / S DATE 1 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. PLOT PLAN AREA — --- FOR OFFICIAL USE ONLY:Accepted by: © t DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD Building ' M Fire Marshal Other Special Conditions Fees II O Permit Fee $ L� Plan Check Other Other 11 11 State Building Fee TOTAL DUE $ to