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HomeMy WebLinkAboutMIS94-0305 Final Runner and Tie Downs - MIS Permit / Conditions - 6/17/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 -11 �3 c- E-,- 1, L M U 01 U iu--_ F4, M I. -1, N IS 4 4-03 0 b f (I R I- I I I Vj (A(.1 16, A I I f AN I HOPHY "EfUGIN I')- "16 4 W,INI' i, HORDY I NE[ UGIN 2 IS 1/h4 if 11 A I It 1i It SIMI V61 ?, Ffi 141 fS #4114.-J of @M I'POJV (- I Ot 'vCk 11) 1 ION ., RUNNERS AND TIE DOWNS ONLY "OP SANDHIt t ROAD, PAST SC"001 IRS1 Vf-f F ROAD JUST PANT Nf-W CATHODIC H111 i I CHURC11 . CONIINIOU. TO A RED HORSE SHED ON RIGHT Of ROAD. 111RN 1Jf1 Al DRIVEWAY ACRO`i!; fROM It AND CONIIN01 ON 10 RF,%t0f-,NCF AND 2"X44 14081IF ONLY ONE ON LOCAIION) I yrt hm"11141 14Y iffs I f I I I jr 01� PROT, fpv 641#119? COMPITANCE TO AffACHFI) CONOt'ft0N% V� Rf QUIRED wu CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date I 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 IN PECTION date by date V date by�2( A. 2 3 (,r- ►m MASON COUNTY Mason County Bldg. III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 I � II ----- -- -- - -- - - - -- - - - - - - -- - - - - - - - - - J MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 i c 0 1, wj— lit t i Oi, 1 , t 0 N S'r p 0 i Ct7tN 1411 tit 1 1 k i :d I HAi 1, i A -, f -; I AH I I 'MI it f1l k M 1i N t i I t r_4 I I pi N i pi H 1-" 14 D M it f,114 1 1111M I Y lit)1-c I I i NI MA'l I A H I t I t N I 1 i 14 v 1 t14. iJ I i ON I MAN I I I I A H I I I f Y I !, i�l mOVI -,A i P r HN', I t,11, f I 14A iA I I H1 1111ill it', I :::I'l N'.,l ANII 1 it ill) '-,11 1.11 1 MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owber Bobby z . Aid U Q/A) Phone# 7 S 74o Fire District# Z Site Address AVE- Sll aeA6a 02&N t Die;LJE City 4 Mail Address Zb Sox 49L City SeLA,4k Sty Zip 9g6!P,9'' Applicant S'�¢/nt �S 4Bd/)F Phone# Applicant Address 5_4 iVC_ 45 A66111-f- CityrSd�re St 1�)�Zip Directions to Site: _f�( � 54A)p � ,� ,�ST S rbl /5'7—,_Q-Fr kd I uST- PAS7— NeLt) CAd o I>c 3�,17-cti u L ( oQ&f7ivZeZ� T geJ ArsF_91W o,J ()J= , -a feN ZeEr- a 7— D e1dFJA)A...y /keaZ :izaA :7-4- Cp&)7, •146C OAJ %'T 70 k'es td eAR-F 4- .7 k X !sX Mo b;le Lo'e-vy cxyc- a#') Lo"rti,� #2 Parcel No. (9 3- D - 7 5 - (:>D ( (d p Legal Description .4c-r /ro ©-F Sur?OPI (�ol.�►�f pAC&-- #3 Indicate by circling the applicable source if any water is on adjacent td the property site:: _ saltwater Iak� river creek stream pond wetland seasona runoff marsh other 44t?_soAJ L, -/C'l+� a77L,1242 S196 OF AtIwt=w #4 Project Start Date Project Completion Date #5 Use of Buildiing Describe proposed construction CL tJA&Z,-S 4- IlQ OW&-!S OfOl y '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 FIRST OBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMENT. MENT. X OWNER )a X BY DATE /11 ( 4 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 FOR OFFICIALUSE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD Building Fire Marshal Other Special Conditions Fees Permit Fee $ Plan Check Other Other State Building Fee TOTAL DUE $