HomeMy WebLinkAboutMIS93-00548 Cancelled Foundation - MIS Permit / Conditions - 9/17/1993f
MASON COUNTY
j Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setba K _ date by Ribbons
date Gas Piping date b
Foundati Is date by Set Up
date by INSULATION date by
BG/SLAB nsulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date ���— date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
J
CONCRETE MECHANICAL ,/ y' MOBILE HOME
Footings-Setback date �?3—; 7 by , �� Ribbons
4ate by Gas Piping date b
'noun ation 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.
dateOS-09.7 by date ,W—?V b date by
PLUMBING Attiqj OTHER
Groundwork / date��'�3'9� by
date j0' / —g3 by /� C___
WALLBOARD NAI QQ��
D.W.V. /�p,�' date��'�j� bylly�
date-5 3 —�V, by -,944e�
Water Line FINAL INSPECTION
date!_ by g date by date by
MASON COUNTY
F Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY LF; 1 1."{
BUIL
DING PERMIT APPLICATIQN
_ FP 1 3 1993
PLEASE PRINT
#1 OwnerDQhczld f C04SLO S n� Y'14%one# 4a6, ' (,�,6g7
Site Address �/3Dk/ �/?cL. Fire District # / /
City She/7-0*7 St Wa- zip
Directions to Job Site zVorfl2 an
MC9waK E (Tehseh led o h ,ueS-f � de
Owner Mailing Address S f �T St
city Sly e l i-on St (c/c�_ S�V
zip 9
Lien/Title Holder Donald
Address -!59 7 we S t 1. S
City- -- /7-er) St WC.— zip
#2 Contractor Name 9e/'C- Contractor Reg#
Address Expiration date
City -St—zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water is required)
#4 Parcel No. 3a 1 31 -liq - 9000O
Legal Description LoV5 Z'� 3 5k6rt Spa&��Sio� zz�l�
T zl hJ 3 l J
#5 Building Square Footage:
1st F1_ _ 2nd Fl 3rd Fl Loft Basement
Deck #bedrooms #bathrooms /8'00 Garage Carport
ara /Carport : Attached o etache
Other
#6 Use of building Describe work
n kw OA)(NStTu(J� o�
#7 Type of Job: New ✓ Add Alt Repair Demolition
Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION P
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: N�saltwater lake
river pond wetland seasonal runoff
other
a,dhow following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements tlq ll _ /� / aPiy! o J-
Name of Flanking Street Scale: T ff
Name of Fronting Street Date: 7
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DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
f
Approved C"d Hold
Approval
Lng:
m mental Health:
Lng Plan Re ew:
pancy Group:
Marshal:
i
FEES
al Conditions: II llsite Inspection I II
II I I
ll IlBuilding Permit I II
,-5
11 (IViolation Fee I II
11 Ilviolation Investigation Fee I I1
11 11plan Check I II
11 11 'I
11 II Plumbing Fee i II
11 H - II
11 IlMechanical Fee ( II
11
11 IlWoodstove Fee 1 II
11 1 I
11 IlBuilding State Fee 1
I I I
ng Valuation: 1I 11 TOTALI /9 l