HomeMy WebLinkAboutMIS92-00019 Cancelled Mobile Storage - MIS Permit / Conditions - 3/6/1997 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
• P.O. Box 186 Shelton, Washington 98584
pi V C. t 1. 1. A N V C3 it I i; U it 1114 m 1 '11
C11
F- 360 HIKKIANGN RO Unit, : 741 U.I. t N
1111,C11AE1 I INCHE'R
fit H-41 i: M I CHAU 1, J f INCHUR
; 1 4,i)1 4112 oil? St IV ts $441SI 41 il:
aq" on I y
J!il i w tit ION
F 360 '141 Mikkitisall Rd
I N1, ; 1
19'Fi i44011N I HY I A I t f.f 1.1 1
—�........
it
I
I (it .11
RI'a Pahl . Iov, U�0111PUtANCU fit 411AC1,00 COHOMOW, JS
R E QU IR C D
CONCRETE MECHANICAL MOBILE HOME
Footinv.3-Setback date by Ribbons
ate 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 b
WALLBOARD NAILING
D.W.V.
date by date by
Water Line FINAL INSPECTION
date by date by date by
1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
{rt�a�; t A t it) i ,t h k fltt'�„'j �� CV t 111-1HI t:
� f j
_:...i..:..f....lirJ.1111-....._...J1 ..IINIWI1111111I H//•IY.•I,•I.f4Al•.....•.••........... .i � ..
BUILDING PERMIT APPLICATION �2
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED yy/,�` (,
PERMIT NO. rE`
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
5
OWNERtA
2 O Es .
DIRECTIONS l�
TO JOB SITE LPARCEL SF LEGAL -
'
NUMBER DESCR. i '�
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE 1 1 '
WORK l kit J
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED❑DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDIN DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE DATE � ^� X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS F
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
_ SHORELINE
17-1 r _
t—C Cam ;;, �n��< ' WOODSTOVE
— %, PLUMBING
ck
p - �,��� L. i Jt - MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY I PLANS CHECK BY PROV OR�ISCE PERMIT VALIDATION
�� CASH CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAM AIL ADDRESS I 8-STATE ZIP PHONE
OWNER �' F E al ci$35 tTI
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage.
O Attach copy of septic system"as built" or septic permit approval
O Indica topography profile of property and structure on reverse side.
Wt
AY fill,
2�
J
I
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approvaL
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
A DDOl1 rr r�
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUC RE
Ile-
1
3