HomeMy WebLinkAboutBLD93-1438 Cancelled Deck - BLD Permit / Conditions - 10/16/1997 MASON COUNTY PERMIT
NULL
Mason County Bldg. 111 426 W. Cedar MULL f` If/01D BY EXPIRAT(Of4
RO, Box 186 Shelton, Washington 98584 DATE&XU�jV13y
#W#
N E_ 100 C 0 M1, PI I AT ti i ii
I'IIANLI, DRUCt- PERRY
(41 111S lAtt 13 1111,° 101- It I's #S414 91 ott
A111001 Ri fill It tilf M 0 1;It 0 1
I i�j 1,11 F,
it I
!it it 1 1 1.1T1) I
1406 1 1 1
f I it H 1 id nl,t 0 f I KItIt1 P 14
it I) I llh':
H ti
1, fk I I I It fj o I I! I It
t I I 1 fj.I pt kil-t,4 I I
14 1-
f., I t4 V I N I
1 1 14 1 1 14 k I t 11 1 tt tit 0 1 k 614 t> ;{Hato I It tit
1 1(4 1 '1' 1 l 11 i
0 4 1 1,$ 1 t 104A ,fit I: I, it IA 1%114 1 1 111 11 I'l I I I 1 1-11 1 14 - to
I A R I I 1 0 0 0 0
A 1 f 11 1 lit< I toi jj 1 0 V) 111 11 lit! I I
I I I Illet 0
iff S(01 III ION #[14 fill f
R 13 11 1 ti)(41 i(WHIlY 3 NOP)h III Of Lf All 001iiii Mki iI I)A 0 13 BE I I At It IIIIII)VA ROAD R thfi I A600 I A I I f 0. 1 1 t I ,j I iflifif I I is "Ai,ll if I j
j IfIll lftS (Aft �f(1100 '0 to MI (fitt I NS pi At I I litto lit it pfh"l tJfif ofJ11411 %160 If$ )Pit
111 111'Rol I Hff ft#f S #111,1 AAR VOID It it it R 1' 0 R I ONSIRIPHON AOTHOQ I:10 t S 001. 0041 of.I It wl loll I$# IIAV�. tili 11 I,it 0"m I P III I I it 0 0 (Im t.; A ptiijot
('1 100 IIAV% Al W 1 101 At flit WORT' 11, 1 OW$0 0 fVIOf Of t Iff (ANI INUAI IA$ (it W01 IS A Mhff.�S IMM1111IN 4 f 10 10 f Ht I Hit PAY Pf It I Iiii I INAl 1M5Yff I Itto Ail"I At
11,7911W It [Iff0f 8011.11106 CAN of occup[th.
0140 "ll ASEW
et'p MI, rev: #'i ,it fttj c 41 lit'D 4,0HIIII I NPI I A14CF 10 A I [A( 1.0111 Hull
i
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
r-
MASON COUNTY
-� Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
i
1
J3 3 — 2,4
MASON COUNTY
MISCELLANEOUS PERMIT APPLIC
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-967 3EP 0 7 199i
PLEASE PRINT
#1 Owner --e ¢ "ey 1%- �--� f<c/ Phone# Z 7 5'-- 1/-g FMfstt F
Site Address Ale /ho /-'Cif --c City 7,*ti"cz.4
Mail Address It-`e /Z/o 6o f f/le� Z,,f-e
City ?Xly(ci va St Zip 19,9 S rg
Applicant /;004;L-e e zyH /t`i Phone #
Applicant Address Ale' /Q O C o < //t S pe-Ac -e
City "2/110eG/ /�' St Zip 1 ef 58 S
Directions to Site: A Y -3 dive- T/� 70 �.cL//=�if�L,� AL L 64 SzG`..t 36
7"L/tr -e!I'i—
/f ? !rO siY•-C. CC L G 1Z,�G G.� L� /+cG��.�...� L Gi 4 Tc . �'�T.�t, ,
7 G a L< < .z 5 L
7`r f ti C -c!�7" !•<y`i T S r�-� o s� `� -c-c-c°.c.
#2 Parcel No.
Legal Description C c 7 2 7 4 Co
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake: river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date, /, 9 3 Project Completion Date Ale-, �' 3
#5 Use of Buildiing 70 /7-�ar�r s -C Describe proposed construction .3 $X 8
7-7-1-11 `7 16� 27 J ouSP
'Depending upon the type of permit,a floor plan and plot plan may be required.
'This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
J
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED COr
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I A.
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULA
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AN-
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THER!-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPAR
ING DEPARTMENT. � ��-�� MENT.
X OWNER X BY
DATE 37 - 7 — DATE
Show following on the site plan Al
Lot Dimensions Flood Zones kv z'
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines 5
Drainage Plan Easements
Septic Systems . Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
mms
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $ J'
Plan Check 1`j•Cfl)
Other
Other
State Building Fee q. 60
-TOTAL- VAiuA-t-io" TOTAL DUE $ So`�•5O
� i