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HomeMy WebLinkAboutMIS94-0566 Cancelled Mobile Runners Only - MIS Permit / Conditions - 9/23/1996 ------------------------------------------------------ -----AMASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 MIS94 0566 P(011 I i 1 111111 fit PI 4 J" i0l-s AIJI'll"I MF IS I ANCAIOR OR HE HI.-FAIR N't AIII)HU"Y PAIII !iOM It A(II)NVY PAIII fiOM ',17!s 8:014 0 UAIDS (tVf ATV 1 It 17 IS #4131 #111 01 11-1 1 1 liN 101014114- RUNNURS 0N1Y FROM FIELFAIR FAKE NORT11 SHORT POAI) 10 kiANI)HII.1 ROAD . 114V UIIW l It I I Pi ANCHOR OR , Itsphl ON )ANCHOR DR . WHERE" ROAII SPIIPi IAKF RIGHT CORK . I)RIVFWAY 11W11 ON IhI ANCAIOR OR - hIJfllHF R ARE ON FENCE . 1 1 IT Nit I ! yrl i;Y i ti f, 01" U 014P I I AMC 11) A I I ACHI-0 C ONtJ I I FOW; I'; R QIII R F(I CONCRETE MECHANICAL MOBILE HOME Footings- tb k date by Ribbons date b Gas Piping date b Founda onWalls' 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 PLUMBING date by 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 I � II MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I I - - --------------------------------------- -- MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Cfq'j�' lVill I ifits P111' I lVil 1 1 I"'i "'M I KA 11 J I l"m t" 1 ', I rOli ' 'All !1 J'f 0 -V! l',J P 0 A N f 11 1 1 H M 11 11 1 ti i-till,'h A I if 1;t MIS MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner i v (fit 1<<m'� Phone# 20k0- 27-5- 638 Y Fire District# Site Address G-ev l3' . City 'Be- S� Mail Address SAm.e 4is a(oy e-- City St Zip Applicant AAA,San Phone# ao b 3� � Applicant Address-5A T60 X City St Zip Directions to Site:: e U2. 4o < ( . T t�, l lP-0--1- in Alta K I�r. 4,wrn on hekotZ i3r, wbrbr -e 2�cl '>p rds Ake, 114 Imo;!4A 'FMk o J)fiUPLA,� ►5 15� OtA we_-('� Nord �� Anc�o� 1Jr .I\#2 Parcel No. I 33 L C") -� (�'7 �— Legal Description Zr=0 e,_D; Coo e < . 3 Tr . 77— #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 Project Completion Date #5 Use of Buildiin Q.)� C�1 e-,V\-Q 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 ISISSUED 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 FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMEN MENT. X OWNER " u X BY DAT ��' DATE 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 l� FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning X=N APP COND APP HOLD f� Building Fire Marshal Other Special Conditions Fees Permit Fee $ Plan Check Other Other State Building Fee rQ TOTAL DUE J t r MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION g / /(? /96 TO: daolr Foatl-jSdt? rV�1'� DY. RE: Permit Number # To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please cont ct this office for a final inspection, update inspection or extension prior to /J17 /96 to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, 04,/M� Building Department cc: Property File