HomeMy WebLinkAboutRevised Plans BLD2020-01263 - BLD CD Environmental Health Review - 5/25/2022 2oZO-olaIA3 //�� -�tr "A•C0m
Permit Numb BLD/ ONI:: _-_Applicant NNamelT(Y1/.�.. Ema
Phone#: . Q Mfi roject Title: i 6ME Parcel Number: 2;,a-2?L 51- 72-
Please provide a complete, detailed description of the proposed revisions to the approved plans. Please
return this form to the a n my Permit Center. '
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The following do ments are reguired�be submitte with this form. ,..
➢ One set of revised plans or add um indicating the changes. Yes_ No_
➢ One set of the approved construction plans. Yes_ No
(The"Red Stamped" app oved site plan must be'nclutledl
Revisions are to be clouded with delta's clearly and accurately Identified
on the revised plan/s or addendum. Yes_ No
➢ Does the plan contain a structural,architecture[or soils engineer analysis? Yes No
(If yes,has the Registered Professional/s approved this revision) Yes_ No_
(is a stamped and signed approval included with this request) Yes_ No_
(If no engineering or other changes requiring a registered professional have been
made,the plan may be approved without written consent of the engineer or
architect of record)
➢ Does the proposed revision modify the footprint or location of the structurels? Yes No_
(If YES, is a revised site plan,with all new setback dimensions included with this request?)
Yes_ No_
Additional Information} n a �4-W 5�LL 9(A K-
�1.. .� Con�G�o 1�
77 r s1,i1
Applicants Signature: Date:
STAFF REVIEW SECTION
Reviewed by:
ne,mmod Do. A $ge.d or. Rew—m
for Revew Rwaiv.d It N r AMmuad ApP d
J�~�Iu.lon $—
PulodcPBlunnnlnge
hand bin :
Additional Valuation: $
Sq.FL X
Sq.Ft. X
Additional Pan Rkw:
Ss E
Ad
ditonal Building Permit: $
IleaXh f� Addifional Plumbing: $
Additional Merhanioal: $
Fine Other: $
Menha
Total Due: s
PWac
Y/arks
Page 1 of 1
-PLA PL A ISio q�
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PLANNING:
ALL SETBACKS;ARE MEASURED
FROM THE FURTHEST
PRO ECT(ON OF
F � MASON COUNTY DCC PLANNING
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2�` S ryIpBON COUNT! DCD PLANNING
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