HomeMy WebLinkAboutMIS98-00364 Pre-Inspection - MIS Permit / Conditions - 7/22/1998 MASON COUNTY ,
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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M 1 SOB-0364 PAR Cl: D i V : BLK. : I.()T :
JOB ADDRFSS : . . .
APPLICANT : DOTTIE
OWNER - DOTTIE HILL LARD
LE' jAI_ : TO 45-A OF SVIVEY VOL 4119-22 AL$4f k1OU k$ TR A 41`1rP'.#�.525'
PROJECT DESCRIPTION :
TO DF.TC711M I NE IF EXISTING LOG GAR I N CAN BF BROUGH'i '411 1 PTABL E CODES FOR USE AS A FULL TIME,
RESEDENC'E
PROJECT IOCATIUN :
RFAR,,, C,REEK DEWATTO RD To EIFENOAHI. PA5S SEE BUS STOP ENCLOSURF ON tEf-T 'IURN LFFf THERE SIPFVVAY
RD GO TO T AND TURN R 16HT PINE CAMP RD PROPERTY IS STRAIGHT AIIFAD OF 1 E:E YOU WILL SEE THE CABIN
THROUGH THE TREES
PROJECT NOTES ;
TYPE BY PATF RFCE IPT
t14; I PI '1 42 .00 TW 07/ 14 f 98 47671
TOTAL : 42 .00 � OWNER 0R- AC-4 NT DATF
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NIS ?RIT, rer: 11410119f
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I11CONCRPTE 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
WALLBOARD NAILING
D.W.V. d
date by ate by
Water Line FINAL INSPECTION
I
date by date by date by
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MIS
MASON COUNTY
PRE-INSPECTION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
$33.00 Fee Required prior to inspection
PLEASE PRINT l �' �A��^f7 _ •y/ r ► (,
#1 C �nTTr E - � �l l -f� Phone#
Site Address-- S'CAP_ I o ti city r I Got o_
Mail Address I'y14_h Lyo .
City Pe P-t A--fLQ St I-)A- Zip 3 __7
Applicant Phone#
Applicant Address
City St Zip
#2 Parcel No. "Z Z 3 ) ) -_7 - S 1
Legal Description t19 off' �F) / 2..1
#3 Purpose of Pre-Inspection ?`o 0E7JE7— rNii� /r- TitiC��, C G4iJ
&kate Im a i Lk D T-) f?TA PAL
' n1
#4 Use of building L 17
`JUL
I'ERMIl ASSISTANCE CENTB
#5 Indicate by circling the applicable source if any water is on or adjacent to subject property:
saltwater lake creek stream marsh river pond) wetland seasonal runoff other
Directions to Site: hi �' L " 4 L_ '�,e Sze P
i
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
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- - -- -
FOR OFFICIAL USE ONLY: Accepted by: 77
� .
Receipt No. /a �/ Mete To1T}
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
i
Fire Marshal:
Special Conditions `-t3z0 d7' trZZ= 3uM;
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