HomeMy WebLinkAboutBLD2024-00357 - BLD CD Environmental Health Review - 5/16/2024 Permit pNo: ?-
MASON COUNTY f�
COMMUNITY DEVELOPMENT
Petit Mdmnm CeRr,BuIldIm Planning MAR 152024
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER IlVFORMATION: CONTRACFOREgORMATION:
NAME-+" NAME:O+"-- J
MAILING ADDRESS: MAHJNGADDRESS:amo.a.wwas -ar Q
C11'Y: STATE:"'" ZIR:®` CIY:T STATE:-- ZIP: F—
PHONE#1:^'^°®' PHONE:--- CELL: ® ll any Z
PHONE#2: ' EMAM:
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PHONE CELL�+a'
PARCEL WFORMATFON: Z
PARCELNUMBER(12Digit Num ) ZONING n'0 LL.I
LEGALDESCRIPTION(AbbmieMd) "' w" FREDISTRICT
SITE ADDR&SS'a'a 4CITY®+e^
DIRECTIONS TO SITE ADDRESS F�maeYMun4laeP'Pb
LSTEBPRO.IECTWITE8i300FIOFSLOPE(S)GREATERTRANI4%: YPS0 NOD SNOWLOAD:�
ISPROPERTYWPI'EUNm0FT0FT'HEF0LI0WING: (amtdldmo�ry):
SALTWATER[] LANE[] RIVER/CR E] POND[] WETLAND[] SEASONALRUNOFF❑ STREAM❑
TYPEOFWORK: NEW0 ADDTIOMO ALTERATION❑ REPAIR[] CTEERri
USE OF STRUCTURE(Rwaxr.Gm �'Xd,,, c)a
ISOM: PRBAARYE] SEASONAL[] NUMBEROFBEDROOMS NUMBEROFBATHROOMS
HEATED STRUCTURE? YES(IMo BkW EI YES(fw(de&W❑ NO❑
DESCRIBE WORK—^
SQUARE FOOTAGE: ��Cp
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GARAGE q.B Ava [] De lathed❑ CARPORT. q.R AC El Damched❑
MANHF D HOM:E INFO *4 COPIES OF TBE FLOOR PLAN REQURtED'
MODEL LENGTH
BEDROOMS BATES SERNI,NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE5 ERSOURCE: SEPBCB SEWER❑ / NEWa EXISTING❑
PLUMBWGINSTRUCIVRB? YES13 NO❑ lfy ,mach mmpla Wa Ademmcy Form
PERIhffiTER/POUNDADM DRAINS PROPOSED? YESQ NOD E10SONGSQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
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PROOF
FIT CONUATION OF WORN ON THIS WILL IS BY MEANS OF INSPECTION. PUCTMTY OF THIS
PERMIT APPLICATION F 180 GAYS OF MORE WILL CAUSE THE APPLICATNIN TO BE EXPIRED.(MASON
COUNTY CODE 14.08.{3)
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D ARTMENTAL REVIEW APPROVE6 DATE AEI( . DATE TAGRNOTES'CONDITONS
BUDDING DEPARTMENT
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Arrow Septic Designs DRAFT
171 E. Vuecrest Dr
Union,WA 98592
PARKING oQ( (360)898-2255 MAR 12 2024
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