HomeMy WebLinkAboutBLD2023-00959 - BLD CD Environmental Health Review - 8/14/2023 MASON COUNTY Permit No: p�q� O 3- 5q Z
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COMMUNITY DEVELOPMENT ry =
Permit Assistance Center, Building,Planning AUG 11. 2O2;
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BUILDING PERMIT APPLICATION ,' Z
615 W. Alger Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: = inNAME: r adii /3 �-i'� ,, ++ f t NAME: Oc2Ve it f G i-i7 Z
MAILIN ADD SS: /S 1 �r vZI I MAILING ADDRESS: / —q
CITY: fZ STATE: ZIP: • ' CITY: STATE: ZIP: D
PHONE#1: ,(— LfS-- ' 7 PHONE: CELL: (-
PHONE#2: EMAIL
EMAIL: L&I REG# YJ EXP. /1/
PRIMARY CONTACT OWNER ir CONTRACTOR 0 OTHER
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NAME ne h�Jtr ',K 4, EMAIL Stk./erg/WI( I C I 1� �.<<�►'�
MAILING 7JDN_D'7RESS I 79 S.frig(/' t Its' . L CITY Ci ��Gt1J STA Mir!!
ZIP
PHONE A.
S2D'/Z] I CELL
PARCEL INFORMATION:PARCEL NUMBER(12 Digit Number) c.7
'A OA-/ -c-' Q i Q5(., ZONING
LEGAL DESCRIPTION(Abbreviated) S /l/Crect"c.Jli(/l e.2,642ies FIRE DISTRICT/
SITE ADDRESS 7 G. E�'r/ CITY 6 U
DIRECTIONS TO SITE AD RESS �� ' _ )L '— - /
rich" Q/v y/1 /P (�Yl , t�LIJLIL/J !� !� N /
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO O SNOW LOAD:ZS psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE 0 RIVER/C EK❑ POND❑ WETLAND 0 SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION 0 ALTERATION REPAIR REPAIR 0 OTHER 0
USE OF STRUCTURE(Res' ace,Gauge,Commercial Bldg.Etc.) YCXclr yi Q-.e-
IS USE: PRIMARY SEASONAL 0 "NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS „2
HEATED STRUCTURE? YES(Whole Bldg)Er YES(Part[s]of Bldg)0 NO pp
DESCRIBE WORK "/tt/ ? jr G ri► /)� - fl(4TL S
SQUARE FOOTAGE:(Proposed)
1ST FLOOR/.a sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.R.
GARAGE sq.ft. Attached 0 Detached❑ CARPORT sq.ft. Attached 0 Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE_LVRO
7l Q //I SMODEL Legs po /� YEAR r2 3 LENGTH lie
WIDTH BEDOMS 3 BATHS CA SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER 0 / NEW Q}/ EXISTING 0
PLUMBING IN STRUCTURE? YES NO 0 Ifyes.attach con ed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES 0 NO EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS .3 TOTAL BEDROOMS 3
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the Information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction Is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CO NUAT F ORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPL ATI F 1 ;DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) ) )
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Signatur OW R ust be signed by the OWNER) D to
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH 11'ir- bhp f-?; `( Qi3
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