HomeMy WebLinkAboutBLD2023-01027 - BLD CD Environmental Health Review - 8/30/2023 MASON COUNTYCOMMUNITY SERVICES Permit N.:fiLb90a3'OIDaI m
PERMIT ASBISTANCECFMER: Rr VEIO ED C
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AUG 2 9 2023 2 X
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BUILDING PERMIT APPLICATION 61 r W Alder Street r Z
PROPERTY OWNER INFORMATION: CONTRACTORINFORMATTONi —I K
NAME:See^a.WMU'Msla NAME: WaampaH C Z m
MAILING ADDRESS:145 E H mmM RamS MARDNGADDRESS: 815ERym p. Z
CITY: mwD STATE: WA� COY: Blmmn STATE— WA TJP: MW ^'I
PHONENI: IDt-nws]B PHONE: sBN2]2Am CELL: D
PHONE02 ImM1td.aMNMMldne.wm r
EMAIL: q.Wln:lODkggmm IIH REGM IDD'. /_/
PRIMARY CONTACT: OWNERS CONTRACTOR(] mu l]
NAME M.nn CULmN SNAIL M mTCQ'dul — 'l�M
NMLINGADDRSSS 1YSE HNNYe INerb RonS CRY slmnan VATS WA ZIP iNEB1 LSLl11
PHONE mtafoun CRLL .11015.5
PARCEL INFORMATION: AUG 3 Q 2023
PARCELNUMBER(12Di®1M ) 2RI1411-0DD10 wNMORRIO RECEIVED
LEGAL DESCRIPTION UEB�rt^^IM) �IdNETR1dSPN52(u ZA16) FINEDISTR1LT 53dtl Wl
IO15ADDRES31KSHuebs lYtlRmEB Iwo 1�FSonSIe£B�
DIRFLTTONS TO SITE ADDRESS '
E HeY1G bBInO RE.S
NTHEPROSeDIWRI MRYOFKUDPE#DGRFATERT'HANIC%: YES(] NOB R�'OW LOA6�Djsf
ISPROPERTV WIIK8131q PT OF THE FDLLOWESG: IC.Wtmrwgpryl'
SALTWATER(] LAKE❑ RIYER 13 POM Q WETLAND(] SEASONAL RUNOFF❑ FIRPATA(]
TYPE OF WORK: NEW❑ ADDmO (] ALTERATION D REP DRE] OTHER 1]
USfi OF STRUCIfIRB(s.Nvm.¢+qt�+rnneN.aJ���
ISUSE: PRUM RYS SEASONAL❑ NUMBEROFB®ROOMS 1 NUMBEROFBA7rHROOMS 1
OEATEDSMUCNRE? YP3F Rwa YFR~74AWD NO❑
DESCRIBE WORK LYMenlb Hdre
ARN�l.J 1.�K FOOTAGE:Im.+�9
ISTFLOOR]a2 m.R TNUFLOOR_ _M.R 3RDPLODR_q.R BASEMEM_y.R
DECK I _,.I COVER®DEIX- _W.R STORAGE q.8 OTHER eq.k
QA GE_w.BAm El D.I Q CARPORT ,I.R. AP. D D d[j
MANITACTURRD HOME INFORMATION: 4 COP=OF THE FLQOR PLAN REQUIRED'
EgNNWYpa.\\W BAA. MODFl LS CdW CRNm 21D0 YEARS LENGTH msrWPm�
Won 14'-P BEDROOMS 1 BATHS 1 sER1A1.NUMBER 8141
ENVIRONMENTAL HEALTR:sEWAGF/SEWER souRCE: SEPTIC(] SEWER❑ I -,-A1 ETDSIBi(i❑
PLID.DIOTGMsTRUCDRtEI YFSS NOD OY�.artwh rnmyyhd wgoAhguary Fom
PERp¢'IERIFOUNDATION DRAINS PROPOSED? MD NOS Ex6TINGSIET.
IXSnHGBEDROOMS D PROPOSED BEDROOMS 1 TOTALBEFEMNE3 1
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PROOF CONDNUATION OF WORK ON THIS PERMIT M BY MEANS OF INSPECTION. WACTMTY OF THM
PERM PPLICAn OFIN F MORE WILL CAUSE THE AFFLN:ATKIN TO BE EXPIRED.(NASON
CDUN ODE tADBA3)
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8/28/2021
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DEPARTMENTALREY APPNow. DATE DENBPD DAIS TAGSB MlCONDHIONS
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