HomeMy WebLinkAboutBLD2023-01115 - BLD CD Environmental Health Review - 9/18/2023 MASON COUNTY COMMUNITY SERVICES Pern�ryWPNI ( � m
PERWASSISTANCE CENTER:
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BUILDING PERMIT APPLICATIGN61 B W. Alder St .e- D Z
PROPERTY OWNER RMATION: b.�r CONTRACTOR INFORMATION:
NAME:. C \1L 'nQ 4C NAME: m
MAHING ADDRESS:WI 11 1 a - aR C MALL.WGADDRESS: JIJ
CITY:Y/LlGayr STATE: ZIP: 7qSl CITY: STATE ---ZIP
PHONENI: qq,�,�� PHONE' CELL:
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PRIMARY CO AC OWN-Iff' CONTRACTOR p OTREo
NAME EMAIL
MAILING ADDRESS W \za"� CITY �� TTAT6 9P
PHON LL O
PARCEL INFORMATION: • com
PAE,CELNUMBER(12Digit Numbv) TONING
LEGAL DESCRIPTION(Abba6vi w) FUZE DISTRICT
SIMADDREs9I.1W JJP— ,tjkl9Aaz r crrY vo \k '
DDtECTIONS TO SITE ADDRESS
LST'BEPROJECTWI'THINMn OFSLOPE(S)GREATERTRAN/4%: YESO NO�—SNOWIOAD:--Ja`T
SAL11N ERTY E l FT OF THE FOLLOWING: Iclr WETLAND[
SALTWATER LAKE El
RIVER/CREEIC❑ POND[I WETLAND[I SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATIQN r� 'SEPADt p OTHER n
USE OF STRUCTURE(mrmr.- Gana,C�NO.BN) (e
MUSE PRDAARY�, SEASONAL❑ NU)WBEROFBEDROOMS NUbffiEROFBATHECOMS1
HEATEDSTRuC ' YESOw BByB
KIM -0.0 YESIN.�r(r/)�HIe41❑ NO'TyT,, n
DESCRDIE WORK k\�tIAtJ1 N'14iYM V0.� VQ.V4 JUL'C�
SQUARE FOOTAGE:bmPmW emncl2e..«70
ISTFLOOR Sq.ft 2NDFIAOR q.R 3RDFLOOR sq.ft BASEMENT
N.R
DECK_eq.R COVEREDDECK_sq.R STORAGE sT.R OTHER I(
GARAGE_sq.R A..c d❑ DcW)yad❑ CARPORT sl.ft AR9a D Dam []
'T HA TION: •4COPUSOFTIREFLOORPLANREQU1RIDa
MODEL YEAR LENGTH
TH BEDROOMS BATHS S -NW.ffiER--
ENVIRONMENTAL REAL
TH:
SEWArUSEWFRSOURCE: SEPTIC SEWER❑ / NEW❑ EKISTPNG�C
PLUMBINGRISTIHICTUREg YFSb4 NO❑ /ryea,mmaAaomFluad W9 rAdagmry Form
PERH.D;TER/FOUNDATION DRAINS PROPOSED? MCI A$ EXISTING SQ,FT.
EXISTINGBEDROOMS PROPOSEDBEDROOMSA2�: TOTALBEDROOMS
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF I DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.W.42)
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SipMNrt dOWNERM al by atl MDw OWNERI Oela
DEPARTMENTAL UNTEW APPROVED DATE DE DATE TAGSINOTFSICONDITTONS
BUDDING DEPARTMENT
PLANNA`G DEPARTMENT
FU E MARSHAL
PUBLtCREALTx N