HomeMy WebLinkAboutMIS92-0100 Final Woodstove - MIS Permit / Conditions - 10/6/1992 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
A"= NE 23H48 HWY 3 . . . . . . . . . . HEIFAIR
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HWY 3 ACPO%S FROM RIED RkAL1Y
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MASON COUNTY
�- Mason County Bldg, III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
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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 Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date 100el- byfW4Z date by
�59 a
NOD H i N 3 pe P- jQ4 Must 31
6 '�� BUMI)ING TAVON
com=�i RMIT APPLICATION
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KEM PRINT
#1 OwnerLi�� C�, 7' Phone#� �
Site Address 7, /y
City /FAl ,�' St ITT-
Directions Zip 9v
to Job site�� Ac'ra�S ' 1,
Owner Mailing Address
City St Zip
Lien/Title An'
older 6A ' � �Address �
City St_ Zip K' R
#2 .Casa== Name ,,. Contractor Reg#
-&/,#,-,
AddressL C). R e oc -�b
Expiration date_
City-` 7/'/E'41/Z St(.- Zip Phone '= Sel 27IS-
#3 If septic is located on project site, include records.
Connect to Septic?_ Public Water Supply_ Well___,__
(If residential, proof of potable water may be required)
#4 Parcel No. =7 act .441
Legal Description Tl2_ I S J
#5 Building Square Footage: (existing/proposed)
1st F16bo/ 2nd Fl / 3rd FI / Lott /
Basement / ' Deck / #bedrooms #bathrooms___,L__
Garage-- / Carport - ,/_ (Circle: Attached or Detached?)
Other sq ft /
#6 Use of buildiaa N .� //,V ,.- Describe work
#7 Type of Job: New _ Add Alt Repair Demolition_
WoodstoveZC_ Re-Roof Bulkhead Other
I #S
ffi2BILE HOME INFORMATION
Model Year Make Model
Length_ Width Serial No.
#Bedrooms #Bathrooms Type of Beat
#9 Any water on or adjacent to nroperzy: sa'_twate= lake
river pc" wetland
seasonal _ _,ncf_
ot::e-
��ow1�q on the site plan71
� I I
mot O-::ensions Flood Zones
Sxist_ng St:,:ccures Fences
Str�ct::re Setbacks Driveways
Wace_ "ines Shorelines
ra_aaae Plan Topography
Septic Systems Wells
Proposed Z==,—ve.*ze:ts Easeaents
Name of Flanking Street Scale:
it Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN HELP
PLICANT TO DRAW TOPOGRApgy PROFILE
NC . _..__ _3
3at�: 3as-=s 3vSz:2-^s X 3 . 00
~ Nc. SoiZers/C. ressors i-
S�Cwe_S
0- 3 .^
3 -
Wasc e_
__�_00
"CZ 1=3_3
- ..I J
,
}� No. fir M=dl-4=q
:J+zhwaste_T
<- 10000
_ 10000 cam.
Gri.:als Other
Ot:ems
map Ccole=s
_Hoods
fie='^ 0 3asic Fee �Q .
Fi-e Suppress�ca
TOIL PLDM3L'tiTG $
—Dames. Iz-C:.
CamI . I.ZC- _
Mega^; �-ai F; ,rr•,roq geloc/Repair
Na. Fuel mopes
Gas Outlets 1 2 .00
.�Wccdst ove s eva�
cuL^_. < ZOOR 3T7 �� Othe_T
—Fu-'= -�- 10 0 R STG —6 . 00_
7tL-= - Floor 6. 00_ PPS;t gamic Fee
_Heat P= ps �A� 0
TC=LL C3LL s-
NC=CS: PEMN= HECM.MS NULL AIM VOID IF FiORR OR
'FOR= = NOT C:MMENC.rD WI2,�q 18 0 DAYS, OR IP C; IIC'20N
IS SdSPEIDID OR ABANDONED FOR A 13M-rOD OF 180 DAYS AT ��:R WCRX
IS ACID
C1�S ApFZ:3A4'I:
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.1 CEMFY T1Ur I AN CWW, MM rK EMIR M,, OF T1E
COMMACIM MUSTUTICU LAY RM 78-Z , AM AN AYARE IQZTTfT TYT I AN A C TL7 etGISTT ® mfrtACTt�
OF TIRE "" =JM MWIMA KS "WIRMS, FM 6MIQ � TM SPATE OF 1AMINGTON AMD I AN AWW9 OF THE
T1tIS MIT IS flii� tip TNAr A L ti= MW YIu IN MISAI M MWIEDMIZ REM.ATING THE wM PM Iild
CM"""Mra MEMM. rO oVnGS =&A.L SE MM TE 1ERJITT IS I*M AND AL,L Yost =K WTL.L M! IN
YIT'Mff FIRST MTAINIMG APPWWAL MM THE ■IILaING TfElt8lf7t. NO MAMQM SMAU GE PAW
YITNQIr FIRST OBTAINING APPMAL Few rm suILDIMG
Z HY
Ret"=-= pp�...l ` t:a: DePa-"meat of Gearral �ces
426 W. Cedar/P . O . 3oz Z86, Sheltaa, Na 98584
427-9670/1-800 -56- -5629
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FOR OF7I(3 US3 QNLY
Aaorevee Cali ha,tj
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Huil�:g p1a� 3evie�r:
Occupancy Group
Pire masshall:
Other:
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IJ gviolacioa ravesc garfon Fee I q
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a q gplaa Check I Q
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Q Q gplumbi-mg Fez I Q
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Il II grsec�aaical Fee I q
11 n
II 1( Ilwccdstcve Free
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Scace. Fee I 11
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