HomeMy WebLinkAboutMIS94-0112 - SPI Permit / Conditions - 3/15/1994 MASON COUNTY
Mason County Bldg. 111 426 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 FRAMING by date by date by
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
MIS
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 n /�
#1 Owner 0�3e�RT � JitiJ/1/ag/a C10/Pee_ll /II Phone # .aDlv'e27 fr�f
Site Address 446 f lVr el_6 City L,i GL 14!4L1�J
Mail Address /fQ BD 2� aS/
City St &,i rV Zip 92r,z�
Applicant A &/'0' 'y '1J Phone# �,7oG -,'7 7 6
Applicant Address -74/ D 1We- - .9 _
City Z"L G. St f,1/,W Zip 6/�r3'�,5
#2 Parcel No3.2Y 19 l -S
Legal Description A/'V T / !=4 X( �
#3 Purpose of Pre-Inspection _2 m&z, /,�c XGE /3
#4 Use of building 440 //.ft 2 /1et4�)
#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 ,1/61,116=
Directions to Site: / 6/�7"k E.�l /e1 T�K� /ems-OS��.I�i � ,r, 7"�k�. G��/iu�.+yP .��•�
,0✓ 7'4, llsi J- !/j w C T, y 2.v G T S6'-e v' V '4s.,.0 iZ co.w /e.c T
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 Date3 A-d F
----- -------
FOR OFFICIAL USE ONLY: Accepted by: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Special Conditions
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg.UI 426 W.Cedar
P.O.Box 186 Shelton,Washington 9a5U
(360)427-9670
BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
m/�/9 6
TO: Cobex-+ 3)YDDl►�
T:) . 13ox a 3 1
RE: Permit Number #M/S
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_ contact this office for a final inspection, update
inspection or extension prior to Qr� /_,,2�,/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,
G� n� oS�rvu
Building Department