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HomeMy WebLinkAboutMIS93-0236 Pre-Inspection - MIS Permit / Conditions - 6/4/1993 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 4'1 0 213 6 k, 1 0 wl Ili R i,Al VMS (#Vt 14 #11 It, 11 1$ $4.041 Ni PRf INSPECI I(M F,1i I I 1 1 1 t 1 14 i 1 1)N I 111 I Ak'-SON H I V11 V Ak',ON I (I 'iCHOONU.k 1 (101, R11 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 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 II I i 1 Q3 MIS lQ MASON COUNTY PRE-INSPECTION APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 $25.00 Fee Required prior to inspection PLEASE PRINT #1 Owner(v^t qz.1 �1`-�'L ��Z Phone# Site Address CT�� A'J`y. -e_ Mail Address City St Zip Applicant MAC-I-y SNn.)DAJ (,nI-J5 f. Phone# Applicant Address Ra 32)2c F6_6- City R>L_F'A- ',e. St l�f/d - Zip 98sa8 #2 Parcel No. - - Legal Description C�, 7,� Ci tovbl #3 Purpose of Pre-Inspection ��®JS�C�-T �[—�,��`►� �L-913 �-b,C /J��1�S #4 Use of building A'S #5 Indicate by circling the applicable source if any water is on or adjacent to subject property: saltwater lake creek stream marsh river pond wetland seasonal runoff other Directions to Site: 5RN'b hTG1-- 2? FLyO • L-4k_<4'J 7'D m Et S , 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 & Fronting Streets. Indicate directional by N, S, E, W, etc. tPl,Asa V,'o rrF`/ 1�VSL_Dtr- , 7--r*16 �A-T& OF N5PEL7:F0nJ SD Vf C-ftJ A. lei 12-A AJ 6E F-M EK)TS L� ZTN -fowi� ©GJAJeP- _ (2_h r__.= 5 VAA L- rvNonJ a �- b?Ob 73/- al L/4, o� 3-Av-3 o K1 M P, e r r Applicant Signature Date 6P —3 6�3 _ FOR OFFICIAL USE ONLY: Accepted by: Date: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: b r SrJfYlo r� S r 3 ` N Z n Special Conditions L--