HomeMy WebLinkAboutBLD2023-00782 - BLD CD Environmental Health Review - 7/11/2023 le.nitN.:61-0,2023-6678R
MASON COUNTY
coMMuNrrY DEVELOPnRLRC E I V E DENVI RONMENTAL
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BUILDING PERMIT APPLICAMN112023 HEALTH
PROPRRTY OWNER INFORMATION• CONTHACx IIRA7t0 M TIO =et
NAME:usA rluN NAME:T®
MAD.WGADDRESS M,—D,—D SIRID:T MAILING ADDRESS:
CITY:mium STATE:WA 2:911ts CTT'Y: STATE: ZIP: ..
PHONE#1:MFTaoaDte PHONE: CELL:
PHONE 42: EMAIL:
EMAD.:uSAiTIRPxsabMA.wN L&I REG# ESP._/_/_ "*e,
PRIMARY CONTACT• OWNER❑ CONTMACroap oust❑ •i l
l k
MAIAB Y wEoex BMAIL'G tpSA�
NABANL ADDRES ADDR685 t22W elIIIA1£8 CITY SATRE STATE M Zlmne
PHONE CELL meal:
PARCEL INFORMATION: '4
PARCELNUMBER(12 Digit Numhm) tY1066080utt
lPAAI.OESCRIl'TION(Abhevimed) IDRtt,CABN BEAgIIRACB,wLa PADE22
SCP6 ADDRESS 1aae1 FA4l aXlroHgiIAVAY CITYBB-FMP
DIRP.CIIONS TO SITCADDBESS
6 THE PROIBCf WTIDIN 308 FT OF 8LOPB(ST GREATER IIIAN IN%: YESp M13 KNOW LOAD:_RNNf
RiPROPBRTYWITBAI[I FTt`M/ EOI.D PBNG: I PhETLAMD1
SALTWATER(�] LARE❑ RIVER/CRfiE1C❑ POND❑ WfiTIAHD❑ SWSONAL RUNOFF❑ STRvIDp
TYPE OF WORK: NEW pi ADDITION p ALTERATION p REPAIR❑ OTTER n
USB OF SMUCCURB(AalYra fmRc CmmraWLLyt 6 )RESIDENCE
MUSE: PRIMARY[] SEASONAL(] NUMBEROFBBDROOMS2 NUMBEROFBAMROOMS2
NEATTDSMUCNRE? YE4(weo .W[a NO❑
DESCRIBE WORRDEMDAxD REaulU3
SOUARK POOTA :(P.sm.q
ISTFLOOR—,& 2NDTIDORTa 9.R 3RDFLOOR_N.a. BA58MHNT m.ft
DEC — m.R CO E DECILK& STOMGB m.6 OTEFREe p.6
GARACH_w.&Aa [I D [3 CARPoRraa p,R Arlo Adp D.rmAed❑
MANUFACTURED HOME INFORMATION: •#COPIES OF THE FLOOR PLAN REQUIRED`
MARE MODEL YEAR LENGTH
W TH BEDROOMS BATHS SERW.NUMBEB
ENVIRONMENTAL HEALTH:
SEWAGEISEWERSOURCE: SBPTICI3 SEVlHB❑ / NEW(] EIDSIING❑
PLUMBNGWSTRUC ? YESD NO❑ FIYm.afb[b complrJed WmvAhgwcy Aorm
PERAT6I&IUTOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FT..
EXISTWGBEDROOMS t _ PROPOSED BEDROOMS 2 _. TOTAL BBDROOMS2
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ae+.er a�wno�wn Y e�.eeeem for a eeroa e:teo ae>s.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT 15 BY MEANS OF INSPECTION. INACTIVITY OFTHIB
PERMIT APcPLICATIO"F IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
�I✓ re&— couxTr cooE tA.va.sz) 6 3son !/#Z•?j
SRnANre WOWN IAWtlM tlYntl MtM OWNERI D 8
pBPARTTTEHl'ALaRV�W APPROVRII DATE ODD . DAM TAGSNOTESICONDITIONS.:_`
BUI DINGDEPARIMENT
PLANNDiGDFPARTM@Tf
FIRE MARSRAr
PUBOCNeALTH A I
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