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HomeMy WebLinkAboutMIS92-00052 Mobile Home Storage - MIS Permit / Conditions - 7/22/1992 ----------------- MASON COUNTY • Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 c U.-- L. L A N U- f0 ILJ N',fl I t tIPt iA 1 1 4;'/--96 7 to NE 14HI NP-06tON CRffK RD lift. FAIN 141 BRIAN HAtDWIN 27S- fi294 141 i HRI.AN BALOWIN 275--S294 I it E Of 11/7 st if t#1 I of st om fs 44i,14 3 to. bkl "OIBII-f.- 110M; �:il'ORA6F ONLY F R;)-.1 t I I I t 1 is 1 t 0 N ,- MISSION 1-1JLK NO 1 .5 141 'jIlt ON LAJI I kWH 1 i 01, 1 is ,, 14 0 ff I'l F ": 10 R A fa F 0 H I-Y . NO 0 C 4,U P A N C Y > N 0 U I t I I I Y 1-10 OK UP 11 f-R 14 11 f- X$1 1 R t `i 8 92 MUST HE, RUMOVU11 Al OWNVRS, EXPENSE IF IN VTOLAIION Of ANY MASON COON I Y RUGUI Al I f Y111 AMOHNf b ( I i pE ; If, I CONCRETE MECHANICAL MOBILE HOME Fo,)tings-Setback date by Ribbons date by Gas Piping date b oundation Walls date by Set Up date by INSULATION date by BG/SLAB Insilation Floors Final date , by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by Attic OTHER Groundwork date b date b y D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I I i i i L MASON Ccuyry :w y ING PERMIT APPLICATION cs� nuu PRIM #1 Owner �� ca�,�N Phone# Z7S - SZ�4- Site Address sro, « K City'72a:;-'Z St U--) Directions to Job Site , 5' M, r-} t,ps` e-P��� Owner Mailing Address . 4— Cit St Lien/Title Holder ahr�s© Zip R z Address City St Zip - #2 Contractor Name Contractor Reg# Address Expiration date CitI' St Zip Phone _ #3 It septic is located on project site, include records. Connect to Septic?_ Public Water Supply___ Well (It residential, proof of potable water may be required) #4 Parcel No.7 Z 2 Legal Description #5 Building Square Footage: (exi8ci.n4/pxvpcsed) 1st FI e-4- 2nd Fl / 3rd Fl / Loft / Basement / Deck (Z ,. gybed+ooms #bathrooms Garage / Carport / (Circle: Attached or Detached?) other sq ft / 46 Use of building 7 Describe work ��t�y 97 Type of Job: New_ Add Alt_ Repair Woodscove Re-Roof Bulkhead Demolition_ --- Other M^�[� �8 MOBILE acar rnogMa=N Model Year Make L�bc�lY Model Lengt:z a Width l� Serial "8edrocros Bac~rooms Z- Type of Neat r(F _ act 119 Any waver on or adjacent cc prooercy: sal:wacer lake rive- po,.,. wec_ard seasonal_ rt:rcc_ oc::er ►Jam� pp- Show -10110wiag on the site plan Lac Dimen.si=z Flood Zones Zx-J SL'- -g -6'E=Zctu=eS Fences St_sctL e~Setbacks Or-veways water Li es Shoreli:es Drai:age Plan Topography Senci-c Systems wells Proposed " rovements casements Name osia5- Street Scale: Name af'- � Dating Street Date: PLIC�'vT TO DRAW SITE PLAN 3 E N — t_ Y -- E----— APPLICANT TO DRAW TOPOGRAPHY PROFMZ BEL0 eac.) goo No Toilecs , -- Ve=t z-m X 3 Sys . 00 Bath Basics Vent Fans X 3 . 00 gat: Tubs No. Boilers/C ampressars Showers 0-3 H 00 Sot Wata_ atr 3 _ ,5 � -' 6 . Laundry Washer 15-30 RP 00 Sinks 30-50-ap - Floor Drains 50 + _HP r Laundry Basins �- ----- NO. Ai: Haadliaq IIni t Dishwasher <= 10000 cam. 7. 50 Disposal --- 4- -- � 10000 cam. �0 Qrinals Other Other - Evap Coolers Roads Peli.t Basic Fee 3 . 00 Fire Suppression _ TOTAL PLMOM=G $ Domes. Incin. Comml. Incin. Reloc/Repair 6.00 Mechanical Fixtures Gas Outlets X 2.00 No. Fuel Types Woodstove separate Furs < 100R BTII 6 . 00 Other Furs >- IOOK BTU 6 . 00_ Furs - Floor . 00 Peralit Basic Fee 10 . 00 Seat Pumas 6 . 00 TOTAL XEC3ARICAL $_ ITOTICS: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTEORZ= IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A Pr_ ZOD OF 180 DAYS AT ANYT-%E AFTER WORK IS COMMENCr"D CW'N S AFT=VzT CVNrRACTORS AFr=Vrr I CERTIFY TMAT I AM EXEMIT FROI THE REQUIREMENTS OF THE t CERTIFY TMAT ( AN A QRREMTLT REGISTERED CONTRACTOR CpTRACTDItS REGISTRATI(71 LAW RN lli.jj Am Awuf 12 THE STATE Of WASMIMGTOM ,yip ( AM AUARE Of THE OF THE MASQM CDLiMTT OROIMAMa REQUIREMENTS FCR WNICM 011)(MANa REQUIREMENTS nraxATIMG TeE um Fm VNICM THIS PERMIT IS issum AMp TMAT ALL WORK DOME WILL U (M THE PERMIT (S tSSU0 AMO ALL WR[ OQME VILL 81 (M CWFQRMAMCE TMEREUITN. MO CHANGES SMALL U MAOE CONFCRMAna TMEREUITM. NO CMAMGES SMALL U MAOE UITUOUT FIRST OUTAIMIMG APPROVAL FROM THE BUILDING V(TNWT FIRST 011TAIMIMG APPROVAL F" THE 8(IILDING DIPARTMEMT. OERARTMENT. X CWNTSR X 8Y OATS OAT= Retux-_ perit to: Department of General Services 426 X. Cedar/P .O. Box 196, Sheltoa, WA 98584 427 -9670/1-800 - 562 - 5629 FOR OFFICIAL QSZ ONLY: Accented by: Dane : Ux vPFZC3 us'B aNLY _ A�W C'd Nold v AFOrwm i Planning: Eaviro zealth: 7E Building Plan ate Occupancy Group: Fire Marshal: 0 ther: FED IISPecial Conditions: Il Ilsite Inspection I-�1 II II II IIBuildinq Permit I II II II I 1 II II IlViolacion Fee I II II II n IlViolacion Investigation Fee 1 i1 II I I Il 11 II P ian Check 1 II II 1 1 II 11 Plumbing Fee U II II I I II 11 IIMec.'lanical Fee II II II I I II 11 IlWoodscove Fee 1l it II I 'I I it 118uilding Stace Fee I II TOTAL I II