HomeMy WebLinkAboutMIS94-00753 Final Pre-Inspection - MIS Permit / Conditions - 5/31/1995 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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N P F I I ON A UTER I Hf- �AC I . S A f F T Y
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it I j1q;1 C004P I I AMC U 10 AI I AC HI-0 COND I f I ON'; I S
REQUIRED
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
PLUMBING date by OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date Ts by date by
s� we 1 zY o•G• ��c.
AfY
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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MASON COUNTY ... .
PRE-INSPECTION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584.427-9670
$25.00 Fee Required prior to inspection
PLEASE PRINT
#1 Owner FAA)4 6-1 L=AJ Phone# 9 o E 7 7,9 - 76 8 3
Site Address &,6�_Z6/ PA r AJ, City is EL-
Mail Address /76 ?3 1,:;oe,*L C-I;f -/ R D N, &k-J
City Po tcIn S (S C) ,Q A St WA- zip 5i 83 7 v
Applicant Z. e!2LLe-A-) Phone# 90,6 7,29 7 6 k 3
Applicant Address�4 Z 9--3 1,.A L,, Z,VA-Xj 2 D AJ !�
City St Wg{ Zip 3 7 y
#2 Parcel No. 02 - - O 6 0 7 _
Legal Description
Al C Lc1
#3 Purpose of Pre-Inspection C' oNY.e4e- 7`0/Z Mi2 d i�3 �Sr/ _.� v !3
P.v S ,�f �- / Ac l IS 41 V y ti Eve 2 �_.�- %L �
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141 R E.> 7-0 c.CJ 1•1+1Z6(:F- x,, S T-1 A- C .e3 A R o D rf2_ 42P 2 M
!� o an` ,e Al 7,
#4 Use of building 2 C iE;-i d L,c rl r{- �.
#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: A c S :5/ 0A.) FZ 0 :T-D Miss ; o C,K C L ,D YL
221 L f-J9 7— ,
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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Date <'
Applicant Signature 9/�S��
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Receipt No. r Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Special Conditions