HomeMy WebLinkAboutMIS92-00047 Pre-Inspection - MIS Permit / Conditions - 7/13/1992 ————————————————————————————---——
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
14 X 'c; C E L- L A N E, C3 ILI S f> I�R-" X -F- :',I 1 427-96/0
MIS91---0047 I'AIMf I iS200902 p f MADIN6 TUNNY .,Hoki
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P.P41 RONALD TEMPLIN 931 4cv9'
11 RONALD TEMPLIN 93744
111111is Still situ in #§ 11 $1- 16511 1[ 111119
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PRf—T"NSPFC1 I ON FOR RESIDENCE Lq�CATAON
HWY 4 TO MASON LAKE RD EAST TURN t F&Z PAST 8EXH%ON LAI�f 60 STRAIGHT TO PARADISE 81.VD. TURN Rf
ON LOOP RD BY SNNY SHORE BEACH CIA DRIVE I MT1 f rg END Of RD SITE ON LFF1 1JP DRIVFWAY FOR
O ' MAILI YS IHEN PAST THEIR GARAGE N f ID .3 41 f. MA""ON LAX Of
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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 Attic OTHER
Groundwork
date by date by
D.W.V.
WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
EZ- S
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C11 s � �
MASON Cow t�1�5�t _004- 1
PRE-INSPECTION APPLICATION
PLEASE PRINT $25 . 00 Fee Required
#1 own e - Phone#
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Appli cant4Address
t1 -7Phone# 20 ' 9 ,3 7 95�s9
Applicant 0 /
Ci ty S e 2�6� St u/ Zip
#2 Parcel No. 2.?.? 3 3 -- s 2 - 0 0 9 0 2
Legal Description
#2 Purpo e of Pre-Inspection re v 'e_ ,s tic 1 `
er / D u d
#4 Use of building -sure me-r-
#5 Any crater on or adjacent to property: saltwater 1ake_.,A,-: _
river pond wetland seasonal runoff
o ther
Directions to Site: hf � Alrd 3 //__
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l)n i vA c. rni�t ib Gytc/ d i^o a
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3 / E.✓l.r s�r L s�w-
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ppl i cant Signature: Date: ! z
Re turn application to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-967011-800-562-5628
Include a $25- 00 check or money order payable to Mason County Treasurer
FOR OFFICIAL USE ORLY: Accepted by ` Date: �� � � `/ o<
Show following • • the si te • I
Lot Dimensions Fl•1• Zone2
Existing Structures lFences
i - Setbacks - -
- • • -
rseptic Systems
I Proposed improvements
_
Name of Flanking• Street
_ _ 11
Name ofFronting Street
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