HomeMy WebLinkAboutMIS94-08008 Pre-Inspection - MIS Permit / Conditions - 10/3/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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1t1Ft F 1tt11<#. ', , N1 241. SCHOONER LOOP HEI FAIR
APP1 1 (-110 . ALEX SCHELL 275-3136
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NORTH SHARt. RD. RIGHT ON SAND H t I L RD . l_E F I ON LAR SON 1 Alr V ROAD. UP H.11 1 1-11E.N RIGHT ON CHOONF R
I COP (WfITCH IS 3RD. ROAD ON RIGHT ) HA1 1-WAY AROUND St-HOOMUR 1 00P (IN t F t-1 IS 8111t. AND WHITE 0011t3Lt:
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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 OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY MIS
oc ii 1994 PRE-INSPECTION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLENALSERVICES $25.00 Fee Required prior to inspection
#1 OwnerS�&Y, )r i1f S��// �� Phone # - 313 (' (a.d C.
Site Address �,f a't�/ Sr,���. � .4a8�0 City t3,��cF�r2
Mail Address Sil�,t .9s s Lr,6- a�
City St VV�4 Zip
Applicant �-I =x Phone #
Applicant Address s.Z-T,A�-
City St Zip
#2 Parcel No. 1� � ` - a - 15yor7
Legal Description O.W ._ — --- ---- --- --
#3 Purpose of Pre-Inspection /orr,F+er z;.'P'4
40,IR did it'TT AP r--Z' Lt ..2/,� Ti,om/
'94/ .134 K .Fd4W-C
#4 Use of building k4,0_�V,,c os.'B�k 5,41-P_
#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: .1/ea1.T/y S1fdy�� �(J ��y .6AAtr B
���� ��Fi a� �,g,�s�.,/ l.r_ � A /�, �.r- T��� r d�.N j' ®rr/ Se,.�S/e�'•�di�
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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.
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Applicant Signature Date
- 1
FOR OFFICIAL USE ONLY: Accepted by: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
� z
Fire Marshal:
Special Conditions
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