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HomeMy WebLinkAboutBLD2023-01196 - BLD CD Environmental Health Review - 10/5/2023 MASON COUNTY COMMUNITY SERVICES 1',.RNB: 0otra -D 11140 PERMIT ASSISTANCE CENTER: •BL11pNG•IY.WNING•%6UCHL M-FWE RARSN •'15"..,,_ 619W M.9Beet V*.VIA NW PbeB (MM47r CA.%IBM M-F. IP-TIMP !SJ ✓ / ( C/ BetaM279 •wore Om'(Mmam.m BUILDING PERMIT APPLICATION PRUPF,R..I.��V O/W .N 1ER INFORMATION: CONTM 'POk INFORM/AT70N• NAME'.10_HA) �(1hE- NAME,-7— MA➢JNGADDIIESS ��,,SS'�b ?�M p(/J_{yr MAB.NU AIN»RESS �«LE- j crrY Fy.tGw6�FATe t. TJP:[os z� cnvr✓���vB TE�(, zH4-os7z7 I PHONE MI:_�g !IL-_O i 7S— PHONE. "02Y24•/J3T'L 1 lfLS✓ Plow 02: EMAH.:,T,/�IO/[ELE�.I.TS I.EMARIZJ�AKELG'l�QS�lrA1.9LLI CM IAI_RFGp PRIMARYIMIAcr: olvnEahc coNmALTDR -n F�II -- [ •(soy NAME fe miR I AJO ENML / FLP ,Q /.X9 I MMLINCADI)RM CITY 5TATP._MP_� PHONE CELL PARCEL INFORMATION: LLGAI.DESCRIPTION DISTRI IANNiw _ FIRE CT__ '.� s1TE aDDa:As '7�� Onto _ Or/.0 �2 DfNLCDONSMGIT1iAD0RYS5 _._ __ •% J I Mn2e rklMEcrwrrawTaO Fr oESLoeels>ekeAreH nun Mx YEs�' Noll MTow wAD:_wr SAPROPEERL]O Uo FWO CII FOI,IpWINC: FA.istlirgPFY Q sALTWATER L] LAKE❑ aVFRA'REER❑ POND[] WEMND❑ SEASONAL RUNOFF I] ATRFAM❑ TYPEOFWORK: NEWK ADOITON❑ ALT MONO REPABr LT OTHER❑ UAEOFSTRUCIURI!(A.•ae,mgw.s .) RGf/TEAJ0F ISUSE PNMARYj!�,SEASONALo MRABEA OP BEDRODALSy�.NUMBEBOF BAHDtOOMB o r TEOST0.UC111RE: YEA—Aw;y YFSRanM• [I NO❑ DE6CRIBE WOAR 8 /L J AIEZ✓ kA00l� �?AYI/ SQUARE FOOTAGE:,,, 19TFL000.Zy/7q.A ZNDFLOOR 5pI9-�0� q.R. IIIDFI=RII(/J 1 BASFA4IfF/ q.M1 DECK q.ll. COVERED DLCKy_t_v_q.R. S RT - /_q.ft OIHE GARAOE�� q.0.AlmaAed� Delurl.d❑ CARW0.T q.0.AAxSedo OemMd() MANUFAMIRED ROME INFORMATION: VCOPMSCFTREFIAORPIANREQIRRED- MAKF. VFAR LFN BEDROOMS BATHS SEaAL ENVIRONMENTAL HEALTH: 8 EWA065E I;CURCE'. SEPTIC SEwBB0 / NEWW EKISTNG0 PLIRAINGNSTRUC RE? MA ND❑ tftAaErc�M1wMac&d WonrAdq c,F— PGRp¢TEIUOUDAnONDM SPROPoSEM YES Nayq EMSDNGSG.FC EMSTNGBMROOW PROI'OSEDDEDROOMS 'l TOTAL AEDRODMS 3 BwrsR.nlwwvs+um wNwcn a Inam reN IDlorma4n rt/:mr n w[mv won.ax.PanD2:e[ootim.mlrwwevmnl M.a x q SMMIn pNW.I EMrtIMI mBewle:mtl I IUMxOxlva NN 19:1 Mhdb IYMRMppInM W bCONa IxxS y plglpSN,I luq WmNPn:$4an Mm dl tln�msmypaNez.intlu6np nY ao:enl Mtlsx qNa DIFIan9lepayry 1N5%qe6 Ta cwnv xlrypl AgaWYeW,rtp:eimis N.Ew iMcmuYon D:D•NM I[eml:psW P.II[MpbyNS tl MamnCaugmis ID Ne aDae J¢tmbN plgwl/ W[IVY:lgsl lD:re'wM anD ingetl'rn ilvs pennNegiliution Lamrp m5116 vob Brp4awllv¢N mn54uGDn 1[nd.�'vnmmx�tigs 1® dqs x II ansYuclwn vo'w u vupxiEM b a psM d I M yy[. PROOF OF CONTIN TON OF WORE ON THIS PERMIT IS BY MEANS OF INSPECTION. WACTIVDY OF THIS FERMI P NO RBDAYSOFMO WLLC USEnEAPPLICATIONTOBEEXPIRED.(MA90N N CODE I4AAA2) R Oe1F PARTMENTAL REVf APPROVED DATE DENIED DATE TACRNOTR4ICONDHT0NA DUDDNC DEPARTMENT PIANMNG DEPARTMENT OREMARSHAL PURIJC IffA1.TH I� HRdabT ya = 63C 3e(E NMI m i - x w _ m c as 10 Lil tFx�38���id F{i ��{slll���t �i IC!I:11V BUR Etdkkwimpgg 'MUNI qP1 q3a a{ � "FF 1� !a a jai �ti o ,f� r c get gii � + ¢�ii6aii� sarip ? [sEss " `s ¢ T1 q, �• q i { t 1p e> xF $ xk'Riiii� li t � i 1 o i t €1 r 4 ' 9!