HomeMy WebLinkAboutBLD93-00557 Final Addition Including Garage - BLD Permit / Conditions - 6/22/1994 fZ0w
MASON COUNTY
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• Mason County Bldg. 111 426 W. Cedar -
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL _ M(36 E HOME
Footings-Setback date On I(_ ) r<? �' Ribbons
date I--$— l':5 by Gas Piping or date b
Foundation Walls_ date b Set Up
date -/ — ---, by INSULATION date by
BG/SLAB Insulation Floors Final
date by date date by
FRAMING // Walls, FIRE DEPT.
date ' k- ��'—�b�-�j �' date L by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILIN �
date y o — date
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Water Linee, P, FINAL INSPECTION
—
date by date 0 r 7 l_ date by
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT J y c S S
#1 owner %�ic..r' /'1 /Zi4t3� C Ki Phone# Ann -2S 7-3 61(o
Site Address .E 1'71 �44&n2 t,*-- L14 G Fire District #
City 64W✓/AJ St G Zip 2PJ-y4
Directions to Job Site f`► & G2J 124 ,r0 7- „.&' Ar It je Ael•F'.
Owner Mailing Address S.E.
City &J6 - JT St &-,.+ Zip `1Dog-
Lien/Title Holder / S�/�j iC CP�2P lil-6 .
Address
City St Zip
#2 Contractor Name Contractor Reg#
Address Expiration date
City S Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? ✓ Public Water Supply Well t,'�'
(If residential, proof of potable water is required)
#4 Parcel No. )1�1313 -i C?d 8 k?
Legal Description ,aft0n.JG.0 _r<#&2t�j C er
#5 Building Square Footage:
1st F1 ,.!;- 2nd Fl y60 3rd Fl Loft Basement
Deck #bedrooms #bathrooms_ Garage / Carport
Garage/Carport: Attache nor Detached
Other
#6 Use of buildingAODiTuV1� �14E,.� tt Gµi4
�c,.��Despribe work
zA_)1-&ctf vAjicc. i N Ct-u p F / - 6dgALzg
#7 Type of Job: New Add__Z, Alt Repair Demolition
Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION
Model Year Make Model
Length Width Ite
al No.
#Bedrooms #Bathrooms of Heat
#9 Any water on or adjacent to property: saltwater lake 1X
river pond wetland seasonal runoff
other
l
Show 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
Name of Flanking Street Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELOW
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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ADDITION
PROF iED X15TING DRAIN IELD FUTURE RE5ERVE AREA
. . . . . . . . . .... ..... ... .. . . . . . . DRAI' FIEL
EXISTING MOBILE
. .. . . . . . . . . . .. . . . . . ... . . . . . .
"lop
E I IRS
exisnNs
sync _
PRIVEAAY —
PUW
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SITE PLAN