HomeMy WebLinkAboutBLD2023-01130 - BLD CD Environmental Health Review - 9/20/2023 MASON COUNTY Permit No: hLt61pQ-011
COMMUNITY DEVELOPMENT z
Permit AtslsGnce Center,Building,Planning C
BUILDING PERMIT APPLICATION tTI XI
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: D Z
NAME:HMlw WA1SILC NAME: Y.
MAUJNGADDRESS:1w7ann nanteoeow MAILING ADDRESS:
CITY:Seene STATRWA 2Ip:NOT CITY: STATE: 21P: �' rn
PHONERI: PHONE: CELL: Z
PHONE N2: EMAIL:
EMAR: L&l RED proullODeMOP E)IP,031A1124 D
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PRIMARY CONTACT: OWNERD CONTRACTOR13 OMERQ
NAMEIPr�r�aeryewwa EMAIL a'mRIMnpNnRRPrWI.¢en
MAILING ADDRESS 1608.irnai Ba,.Me CITY aww STATE WA ZIPaM3Z
PHONE-1-1 CELL
PARCEL INFORMATION: r`a
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PARCEL NUMBER(12 Digit NumEtt)32g1E6U3016 ZONRJG N W
LEGAL DESCRG17ION(Abbaw ud)SbweoaN Temp M Am FIRE DISTRICT o a
SITE ADDRESSeTO E Wood Ln CI'I'YBbabn W
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DIRECTIONS TO SITE ADDRESS"'^^""^'1 Me^'°"o"'^a.^nawe°eru'u.r. e�o..yn.ew.el.rrw.e.pa � W
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ISTBEPRCUKCT RTYWIWRNMIFTOFOFSLOPLOWI EATERTNAN U%: YES[] NOS BNOW I.OAD:Z�(
ISPROPTERD THINZIIO FRO RICREE [3 INDI D WETLAND[:
SALTWATER D LAKE❑ 0.1VER/CREHK 0 POND D WETLAND� SEASONAL RUNOFF❑ STREAM D
TYPE OF WORK: NEW D ADDITION O ALTERATION❑ REPAIR❑ OTHER n
USE OF STRUCTURE(Xa,Aae,r.te,Conr..wxluea,aa,)Rawmrw
ISUSE: PRIMARYD SEASONAL NUMBEROFBEDROOMSS NUMBER OF BATHRWMS2
HEATEDSTRUCTURE? YES~,Au E] YES~1,148W113 NOQ
DESCRE3EWOE,Naw3eadow Min Rome
SOUARE FOOTAGE:O.rFnaq
ISTFLOORIZW q,fl. 2NDFLOOR q.ft 3RDFLODR q.R. BASEMENT q.R.
DECK q.R. COVEREDDECK q.R. STORAGE q.ft. OTHER q.ft
GARAGE q.A. AmrAre Q D6Mdled O CARPORT_,.A. A.WD Deearkrd0
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED•
MAKEe^IMm HwrAs MODELTampo Soli YFASM LENGTHQ
WEYTFIV BEDROOMS3 BAMS2 SERW.NUMBER
ENVIRONMENTAL HEALTH:
SRWAGWSUYER SOURCE: su"Icp seweRD I NEW El EXISTINGp
PLUMBING IN STRUCTURE? YESQ NOQ 1/yu,amok romPlne6 Wowr Adquory Fam
PERIMETERROUNDATION DRAINS PROPOSED? YESQ NOD RUSTLED SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS
OWNFA e4nWNpea tlul zuemizzlm ollnacc rera Nlorme0on mey-11In a tW work den orpermil m—.,NirvmlMpemMM autA u Iry
.o...—Ib....1l am aie ownsa111luMer••Clare No lan enure]b mceiue.1 Lend M W IM wvk M 1m ,IIWae
.r"ae-1 mImneY Ide necessary pelves,inclueirq any eazemem MMry aal WiMen,. ,aoNno Miap.p..TM—x w".I
nawaymaLLae,repeabnle Iba1 ma mrnrmaran worgee Iz ccur&e and enure engovaaaol moon Cmnly eeeezz b nn e0>re auvlMe P 4aaY
w auamaraeln.w.ww.nm�napedmn. T ..wnlla.aM nwod waarnod:ad ronaweuw®nmwminwmd wlnln lw
a.w dnwnnmcrwa aom.a a�apeneee Nr a�perYp a ieo eapw
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION, INACTNITY OF THIS
PERMITAP C OF DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MAsON
COUNTY LODE 14.09.42)
X 9/18/23
61gmSMaiOMER(Must be sknad Mera OWNERI Data
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSMOTESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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