HomeMy WebLinkAboutBLD93-00366 Cancelled Bulkhead - BLD Permit / Conditions - 9/24/1999 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 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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� u MASON COUNTY Permit No.BLD �-�� (o
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BUILDING PERMIT APPLICATION
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#1 Owner �� ( C('r4fDi G�. Phone#�v20/, 7 36Zln
Site Address 6- o;297/ lnasO.v 4k-. r. C"
City r' State Zip
Directions to Job Site MaSQYN hSon 0 E. /n4- AJ
1 k. ':5t- ,!�-
Owner Mailing Address - O rk
City v-2 ✓ State Zip 200
Lien/Title Holder u•� • �
Address
City Qa State Zip
#2 Contractor Name Contractor Reg #
Address Expiration Date
City State Zip Phone
#3 If septic is located on project site, include records. /t/ 4
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water may be required. )
a�13 3 -5-.)- Q,o 0 83
#4 Parcel No. V - -
Legal Description i-K re- I. Div 83
#5 Building Square Footage: (existing/proposed) /J -
1st F1 / 2nd F1 / 3rd F1 / Loft /
Basement / Deck / #Bedrooms / #Bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft /
i
#6 Use of building /U•A— Describe work
#7 Type of Job: New Add _ Alt Repair Demolition
Woodstove Re-roof BulkheacY-%Other
G
2-0
#8 Mobile Home Information
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: Saltwater Lake _River
Pond Wetland Seasonal runoff Other
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P11
Show following on the site plan No
i
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic System Wells
Proposed Improvements Basements
Name of Flanking Street Scale•
Name of Fronting Street
Date:.
APPLICANT TO DRAW SITE PLAN BELOW
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No.
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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