HomeMy WebLinkAboutMIS93-00211 Cancelled Propane - MIS Permit / Conditions - 10/30/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MIS93-0211 PARCEL : 3213413900812 P LA"1 01 0
JOB ADDRESS : E 443 MIKKELSEN RD SHELTON
APPI. TCANT : JOAN WOODSON
OWNER: JOAN W10ODSON
(.EGAL : Tr 8 of SU NE
PROJECT T)FSCRTP1'10N :
Propane Tank
PR0JrC1- LOCATION :
Mason Lake Rd . to Mickkelsen Right, about 1 mile side Rd . Left ( Look for Blds Sign) *Smith
Con . Co . & Shelton Land & Home for Sale) 1st house (Beige) on left (New House)
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MCBS $ 15 . 00 CPH 05/28/93 32807
MCFE $ 6 . 00 CPH 05/28/93 32807
STFE $ 4 . 50 CPH 05/28/93 32807
TOTAL : 25 . 50 ;.NER OR A 6 E N I
MIS PRMT, rev: 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
-4W
MASON COUNTY
11 Mason County Bldg, III 426 W, Cedar PERMIT
P.O. Box 186 Shelton, Washington 98584 NULL 8OID BY EXPIRATION
DATE BY
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I4IS93-0211 1`111tU! L : s i4.1 00t.l r 1 1 (! 1
i q 4 1 MiKKt t ';t N H'i► ';tiI I I#IN
i , lit ,t l' I €'
Propane Tank
!%t-;lt It t 1 I tit- t11 I'mi :
Mason take Rd . to Mickkpl-,en Riyht_, abnrtt; 1 mites %ids+ Rd . Ivtt. ( Iool for " Iris ', iorl)
Can . Co. & Shettor! land & Homp for ;at#?) tst; hortse (Heig(-)or) left. (N"w lintasw )
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M) , IJAi . rPv: 0910119�1 COMNI 1AMt:l Itt AI IACNFIt CONDl I ION`, I `:
IiF QI!1RE 1i
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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 by 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
K 'K �K � U ~� U � /
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� Mason County Bldg. U| 426 \A/. Cedar |
P.O. Box 186 Shelton, Wr,ch'[lgfoO 98584 |
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Case No , : MI393-0211 |
For : J0AN WO0DSUN /
Pane : 1
l ) The owner shall have available on site for lnspeotiun b'y Mason County , a report
indicating the name and license number of the installer , the amount of preeevre at the
time of teetinq nnd the length of teat time . This report shall be signed by the person
2 ) ? '
. I �ank size is between l25 and 500 gallons you must fol � ow these quideline� '
1 . Tink is to be 10 feot from any buldlinq , pub \ ic way or property llrip
2 . If the tank is exposed to probable vehicular damage , provide
protective bollards .
3 . All weeds , grasy . brush . trash and other combnetible motmria]
U ay from LP oontainor^
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
lilli: (41 "1i111 I tic, I
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IIIII) OIlItilp Of ll 'zftf
MIS
MASON COUNTY c
R MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner Fire-Diatrict#
Site Address E City O
Mail Address
City O St
Applicant Phone ,. —
Applicant Addr G
city —s ��J St q zip
Directions to Site: 1/0
^yid
#2 Parcel No. r �'�� - - �wC�� 1� YJ .
Legal Description W R C13 t
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
OP
#4 Project Start Date '\� tSi. Project Completion Date
MbR . I6.irf'1.C9m V z 1C�-�►�iarr� nd�i,
#5 Use of Buildiing Describe propo ied construction a
YN I C)" P n-kb G PNU M1 _
'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 APPROVA ROMTHEBUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTM T MENT.
X OWNER X BY
I
DATE DATE
is
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
---
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FOR OFFICIAL USE ONLY:Accepted by: Date:
i
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
3
Other
Special Conditions Fees
Permit Fee $
Plan Check f �j
Other
Other
State Building Fee _
TOTAL DUE $ •�'
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LAND SURVEYORS
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