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HomeMy WebLinkAboutBLD2023-01171 - BLD CD Environmental Health Review - 10/3/2023 MASON COUNTY COMMUNITY SERVIC r P.ERMTASSISTANCE CENTER: Pe C D BW ING. Nd .PLC HAH. F W "L CfW 615W.N.8 K .WA9 r1131,Z,Pwn. m w . 7B61B. , .Fax.r=NV- SEP 28 2023 B dk.f]6%275 67.PIwrre EMa:(R0f9B3'T6Y BUILDING PERMIT APPLICATI RECf(VE� 15 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: J NAjLjNO PDDRE NAME: G Q.. MAII.INO ADDRESS:ror1°01 MAILING ADDRESS: CITY:""— STATE:"* ZIP..— CITY: STAT& ZU: PHONE#1:a®'°e'a PHONE: CELL: PHONE#2:a'a"e" EMAIL: EMAH.: LAI REG#.Ioeaa EXP.OE/p PRIMARY CONTACT: OwNRRQ CONTRACTOR❑ OT®R❑ NAME EMAIL NAILING ADDRESS CITY STATEZIP aaR�.aIV PRONE CELL PARCEL INFORMATION: PARCELNUNIBER(12 Digit Nvmbm) Pae'°°°°°°°a ZONING^^"Ua` W LEGAL DESCRIPTION(Abbmvted) FIXE DISTRICT' SITEADDRESSa aaft' CITY" DIRECTIONS TO SITE ADDRESS MS PROJECP�300F1'OFSWPE(S)GREATERTRANI4N.: YESE NOQ SNOWLOAD� ISPROPERTYWI'FRI MFFOFTHEFOLLOWIiG: (cmemume. W: SALTWATER 0 LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION❑ REPAIR❑ OTHER 0 USE OF STRUCTURE(B®Idmw,Cvta.r a &4 ax)°"r'e IS USE: PRDAARY[a SEASONAL❑ NUMBER OF BEDROOMS° NUMBEROFBATHROOM3= HEATED STRUCTURE? YES(FhnleBkW 0 YFS(Pu[sj fNdgl❑ NO❑ DESCRIBE SOUARE FOOTAGE:a-pan d) ISTPLOOR_q.R 2NDFLOORI- q.R 3RDFLOOR_q.R BASEMENT q.R DECK- q.R COVEEEDDECK'=q.R STORAGE q.R OTHER_dd-& GARAGE''' q.& Attached 13 Demrhd 0 CARPORT q.R Attached 0 Detarhd MANUFACTURED HOME INFORMATION: •6 COPIES OF THE FLOOR PLAN URt®• YEAR TH BEDROOMS BATES SMUAI.NIIMBER FIfMONMENTAL HEALTH: SEWAGFISEWERSOURCE: SEPTIC[] SEWER O. I NEW El EXISTING[3 PLUMBING IN STRUCTIE S7 YES© NO❑ !fyda,axadr Pdred Wam Adg Form PER4ffTERFTOUNDATION DRAINS PROPOSED? YES❑ NOO E%ISTINGSO.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTALBEDROOMS OWNER xNnNeOp tlelaldnkupl al vuovrele iMwmalion may nauA In a stcp voM arderw pemnl m¢albn.leknvwtaapamma o1suM Yp apreprtp ..1 axYre Nel lm the wnix and I NMw declare Nd l m entXka m ra�aYa Ws P and m ao Mvpkaz PPWxa].I have gaped FemlYapn punall Me naGeoery peNx.inGuain9 aM aasamaM mlaerwpeNw of Ntaeq rexmailp M4 pged. iMu V"d mLlaaeMtlNa. binaa'ro Mm NaM PnrMeY hacculah end 9mMa e'np#ysead Mecn CwnlY axav WtlnaWve devlOedpWmrY aM aNwerelf)rorrMaw rd lraW'A..m. lTY PaImNaPgiratlon Eecamae rvlll a wld xwM u aNla'ved mneWCSon ib M cwnnaead wttlin 780 aeyc w rt wrslna:5w vax N waPemml ror a PadM g 1 eo days PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 16.08.R) K Bryan Uhler Bynn unla 08-28.2023 BigneWreMMNNEN(Masi be clarMd OviM OWNEii1 DMe DEPARTMENTAL REVIEW APPROVED DATE DENIED I DATE TAGS)NOTFSIC'ONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH t Z i mm 0 r = _-----_----_..........._..__.__'...'_- �00 zz z 0 i S14o -19 m N N a N L N y =o R N 4 O. J O I 2 v 'w m m i JIpp�S n w N m � 1 S O V d H Q O � j O v b C1 W _ r L TO JAY NAV6CN,D 1&N RSAS (• IIOIgGR BVILDG , ING ptlI6N 30.��31�-4D66