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HomeMy WebLinkAboutBLD2022-01408 - BLD CD Environmental Health Review - 11/2/2022 ®' MASON COUNTY COMMUNITY SERVICES Permit No: ��> ? (J� d w/U� PER NITASSISTANCE CENTER: N SITS PIaYI / .aullnlxc.PLANNING.PWUC HFum.RREWRSiaL IO 615 W.At'.e:5hMSheAu9 WA8659t - U/.K* Foo*:kt' • PhMB h,Rom 3EDJ427-09]0.K 34.!(1M)4P-7799 Phone t 9eMe>.(3�)Z75M67.Phva FdR'(9049?59P9 BUILDING PERMIT APPLICATION �2'I e'' PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: t" NAM& o NAME: e7S > M a4QAD RPS : -J /a 7≥r MAR.INGADDRFSS: r? C) CITY: uTATE, STATE: ZU:_ ,9 ' PHONHBI:� PEoNg; PHONE##-' — EMAIL: �/° FMAII.: - IA!REG# ERP._J / uz, PRIMARY COCONTA '/M114n rcanAcroa❑ oTRERp NAME EMAIL MAILB_GAD OTT SGTB ZIP PHONE. y$y PARCEL INFORMATION: �2 PABCID.NUHR(12 Di&tNut) __ZONING_____________ /� IOAL DES CRIPIION(Abbaviatee Y FflE Dlsnlcr JI O SITE ADDRESS /9q 1c r7 '29 _Y P_'4Al4, DIAECIIONS TO SITE ADDRESS ti��T S TEE PROTECT WII'HHS3G0 flop SLOPE )GRFATYa THAN 14%: YESW NO SNOW WADI jd ZjF�Tq`IS PROPERTYWOU leo PT OF THE FOLLOWING. IUIrie9ma ypw; SALTWATER❑ LASE% RLVERMIm9 POND❑ WE7tAND❑ SEASONALRUNOFP❑ S1AEM.(9 TYPE OF WORK.• NEW❑ ADDTOON❑ AI HRATIONX' �AEWR❑ oTH&t n USE OF STRU�(F.M..e Gaga fc.eeedLit Dc) OF BEDROOMS / IS DS& PRIMARY SEASONAL NOMBEA OP BEDROOMSS�L NUMBa OF BATH ROOMS HEATED YPS(wmh . ❑ YES iq Nr NOD y ) DEflmB woaYEiI#A**1141 SCUARE FOOTAQ j p„pnm\ .LOOR__.. sq. 2ND FO0R �ISTf p 9q.8 3RD FfO0A eq.8 BAS@.ffi.TSJQq.a DECK q.8 COVERED DECK 9q.a STORAGE eq.8 OI'Ifl sq.8 GARAGE p.a Amadp Demchrd❑ CARPORT .q.a enorhrp Douched MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE ODBI. YEAR LENOIH WIDTH BPDROOMS BAITS SERIALNUMESE ENVIRONMENTAL HEALTH: / SEWAGE/SEWER.SOURCE SE TrIC) SEW / NEW EIISDNO PLUMBINGLN SIRIICPURHI YES pd NO Ilya affac&mny?.ed worrAdsQr.sy Ron. ���� 1?ERIQETBR/POUNDATLON RAINS PROPOSED? YBSp EEStING SQ.FT.,g_________ EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS�� OWNER eac mgea that smnieemn tummoae bdmn.'a,N yresatm a stepwn.der Q pantream.pennadedgenwNdraua:h by SanaWre eevu.l Ledare Pat stn the awn.and Wiry loch.that en9tlW m�mha Ut pxnilenlb do Wwak is pgmel llvw th nS Pmndshn FunaI Na na®rl'FaI bldn9 any easannt haWam pgBumWOW n9ed4Vllt PYeG he oMYayp1 r.cr en1ative,nm.t that Ne bdonni&m pmiht h mrte and 9eariR. ogees )A Couidy y m the elwa di bed prc and m„wre(e):nretSwand mepeela Thhpmldkp9 nbean:nth 9 old rwtaw.mm crnwme,h nncannmaedt 1m hryenrc Mn,weth si sM.ddvep.tt aim dap PROOF RMOFCONT_MGAl4 O OFWORK ON THIS IS BY MEANS CF INSPECTION. IUCTNf.(OF 719E PERMIT APPLI T NOP 180 OA OF ORE WILL CAUSE THE REPLICA TO BP E%PIREO.(NASON CODE 14S8A2) X of Mutt S.Iw bvfMOWNERI rhte 9.e•._..�e.: . , :' BQYLAF, +DATE.: €_ j $ T&+ -TAGS(HOTSS/CGME1,TT91Sw• BUIIDWG DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL P[SISCREALTH cLr3 ( 4 p = /s9 �f / OKis6dLh7efor� Voor C'hirnr�er —CJ L__ Wh�xf [ Up '�� Block .Ba/tr j 3loekAl ress m z `n }7�} m O _rn m Z N > 7, - T rti = rn D n rn _Ca) rn ati m U 4- v jar Closet Chi`rl�ey � � r LJ _ err wn _ re Pcvr36'\ 3b" � •,,,Toisf�ir�oD Li 1 311i Red 3 o � m= D � Z T Zl 5 p /V Z N m u = m o x 71 7/lick k, -y3 ',l/ �f� �3asejrrer7� �✓; oar TP osr~ ;,n _ .3(0\ het r' H it _jTo ( F-I-Jr Cad Mr Der �Qif #Vheated // ) storms se4Win 7�efor «rble _ ( 'Ssf�irc�C •n .�ar'�i�iCsf 4 4uzdWcc1 rc( all '�✓q//uSfu4s closete,�©sef i �--i'p/yam wa// L •!�{al/1�ard sa¢1 t Gx6 i i beck Ybandaf1okj Un�eATscT '''6``_ � � � Jji� asps �e � stag � •� a��'�;rc patted w,th 2/4 Thu block ul(Fess J hbter'it • / •' • ' iiaFuip7 �g/aea6 Four�a ��y ,� s � m= D � = T Z N i O m � = rn r v