HomeMy WebLinkAboutBLD2022-01522 - BLD CD Environmental Health Review - 12/8/2022 -� SON COUN MUN Permit N
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'� PERMIT ASSISTANCE CENTER: RCCA
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BUILDING PERMIT APPLICATOW W A dw street
__ RTY OWNERINFORMATION: CONTRACTOR INFORMATION: �w\v� ��C•
PR.^.PF. NAME:coleleerJvea.eeceon.lrc
NAME:Aintlioi^'3fedr'^a' sat9carur+6^B.rA dxw 1Vi r1
MAR.INC ADDAESS:tmEt1e1O Dr crry-oGADDRHSS:
CITy:SneNm STATE:WA �P:906ee PHONEMI'de STA7H:I:
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PRIMARY CONTACT: OWNERD CONTRACITTRLEI OTBFRm`�ea OEMAI
NAME wrwa+rmIBT Baatd Nk'I C1TYo9; STATE WA MP9%s9?
MAWNG ADDRESS CELL
PHONE names
PARCELS ON' y
PARCELNUMHPR(1211i®t Numb )32t9M1Ts901A3 ZONING
LEGAL DESCRIPTION(AbbruviatcD TT-,; r9NW,,4MNTrBrSPM FIRE DISTRICT-
SITE ADDRESS
1w E.WN d CffY�relEn
DDLECTIONS TO STIE ADDRESS E'°1anB�rMe M'a9ME..bmmr Rd merWmuw tined
5 TRE PROJECT WITR473W FF OF SIAPE(SX GREATER I'RAN leY.: VPSO NOB sNOWLOADL--PA
IS PROPERTY WITHIN 200FTOF THEFOLLOWING: Kn adA,.'Y) STREAM
SALTWATER❑ LAKE❑ RI,,IUCRMK❑ PONDO WETLAND❑ SEASONALRUNOFF❑
TYPE OF WORK: NEW[ ADDIIIONO ALTERATION❑ REPAIR❑ OTHER ❑
U580F STRUCTURE(9pblmte.C.rgr.cu®arral eus srn)Va�gareOnNbm9a
MUSE: PRIMARYO+ SEASONAL❑ NUMBEROFREDROOMS NUMBEROFBATHROOMS 0
HEATED STRUCIUREa Yes ffM Bw❑ YES O..fd BW❑ NO 0
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DESCRIBE WORK m"'w""am'°wAr°nr°wwu.aw++rw w�..enn.nea..nwen.emw...n.raw+
SQUARE FOOTAGE:&-p.Al
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h IFACrirnED HOME INFORMA170N: •d COPIES OF THE FLOOR PLAN REQUIRED'
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MODBL YEAR LENGTH
WID1TI BEDROOMS HATHS SERLILNUMBER
'aRONN1EN'TAL HEALTH: EXISTING El
SEWAGMEWER SOURCE: SEPTTCEl SEWER❑ / NEW[I
PLUMBING Nmucrm? YES❑ NOS Tfy+ee•mmot c9mpfend RaferAdegumy Form
NOB REISTING SQ,FT,
PERA¢TER/POUNDATIOND SPAOPOSEDR YES❑ TOTAL BEDROOMS
EXISTING BEDROOMS PROPOSED BEDROOMS
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abrelrea ce�'9sonnom r me nec9+aalr pe,oes.lndeam9 aM ammnemmamor cem®a m1e1051 re9ara:N m.pvpa.Tna w..rera legm
represema mat vre m/wmetion pm+leea Is ewnme ma arerYa erripMees N Mason Lamiv e®se mva afore emotma prnwM
BM ahueWrelsl brrevieu area irepeNon. This pertnNappliceaon Oaunrm nu118wN flwrk w aWrvsa wMtrvnMn b M mmnenwa xi1Mn 1B]
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S OF INSPECTION.
F OF GON BIFI O DAYS OIRE WILL CAUSES PERMfr IS By THE N
APPLICATKFN TO BE ACT
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cmN CODE 14.08A2) IQ A3
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ByrmWre MOWN (M be I rW Wtlae OWNFAI
DEP AL REAR APPROVED DATE DENDdD DATE TAGShVOTPSICONDTHONs
BUILDING
PLANNING DEPARTMENT
ME MARSHAL �TYSa
PUBLICBBALTH I
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