HomeMy WebLinkAboutBLD2024-00337 - BLD CD Environmental Health Review - 3/18/2024 Permit l�0'. &-pum W✓J�
MASON COUNTY FZLC='Gt1 v"Gv
COMMUNITY DEVELOPMENT MAR 12 2024
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BUILDING PERMIT APPLICATION 615 W. Alder Skeet z
PROPERTY OWNER INFORMATION CONTRACTOR INFORMATION, _
NAME:�ewMe-e NAME:M•^"" — m O
MARLING ADDRESS:Poee.1. MAR,INGADDREES:IWINETeIereeN�m M D Z
CITY:� STATE:WA ZIP:� Cm:T•M+'• STATE:wa ZIP: 3
PHONE*1: PHONE:u%7W% CELL:
PHONE N2:zv.zm8me EMAIL,n•^M^• = m
EMAIL:g.nmOy>dae.mm L@I REGAPW+T"'°mew EXP. B/4 /2 Z
PR_RMARY CONTACT: OWNEB O CONTRACTOR❑ OTHER❑ D
NAME I1tli EMAIL 41�eelbRwlmam (�
MAILINGADDRESS PoeviTeB CITY a STATE WA ZIP—
PHONE ee•I CELL
PARCEL INFORMATION: �M
PARCELNUMBER(12DigitN.m ) R"•'Tea0Is1 ZONBNG
LEGALDESCR ?TDN(AbbmiaW) m1%or BumsrElg FIREDISTRICT�w ^
SITE ADDRESS 2M HE oe atm Be CITY T•e•�P AQ g1�?y
DIRECHONS TO SITE ADDRESS r'^^ 'Ti1`e'tW^^""iitlion NEow.em Mmnuunu RECf/V�r
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ISTHEPROSF.CFWITRIN300FTOFSMPE(S)GREATERTHANI4%: YES(] NODi SNOW ef
ISPROPERTY WITHIN 200 FT OFTHE FOLLOWING: anrAv oepp:
SALTWATER❑ LAKE❑ RIVER/CREE D POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK NEW v0 ADDITION❑ ALTERATION❑ BEPAIt❑ oTHER n
USE OF STRUCTURE ll ae lc Gums C—w BBI Be)�
ISUSE: PRIMARYO SEASONAL[] NUMBER OF BEDRooMgd NUMBEROFBATMMMSz
HEATED STRUCTURE? YES(UWvRW 0 m om/•19BN O NO❑
DESCRIBE WORXB"°e 14lzsplare PaGNryb Wy MNaM a
ROUARE FOOTAGE:(Pmym* -
ISTFLOOR1412 eq.R 2NDFLOOR_sq.8 3RDFLOOR_N.f, BASEMENT_sq.It
DECK_q f, COVEREDDFCK N.R. SFORAGE M.B UTIER_W.It
GARAGE_N.& Atmchedn Dddchd❑ CARPORT 1-AL A=hed❑ Dsfached❑
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUMD"
MAKH MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS - SERW.NUhIDER
ENVIRONMENTAL HEALTH:
SEWAGFISEWER SOURCE: SEPTICO SEWER❑ / NEW O+ EXISTING[I
PLUMRIHOM STRUCTURE? YES O NO❑ lfy s,,attach awPleted Water Adequ Form
PER2AEI'EN7OUNDATION DRAINS PROPOSED? YES O N00 EXISTING SQ.FT.
EXISTIGBEUROOMS PROPOSED BEDROOMS z TOTAL BEDROOMS z
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
F APPLIC O N O ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON�' COUNTY CODE 14.08.4z) t- q
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Spew aCWNEK fM tb4 I Mby Ne OWNERI
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTEWCONDTOONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
322.2' 00
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HEBLICH RESIDENCE § ; # § \ �
2705 NE DeWATTO RD.
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