HomeMy WebLinkAboutBLD2024-00303 - BLD CD Environmental Health Review - 3/8/2024 P..it ND: FJU b<()A 0303
COMMUNITYMASON COUNTY
0
DEVELOPMENT EVELOPMENT RECEIVED
Pareit A, SMIMe Cmhr,BWWinR PlaminB MAK 0 6 2024 rn
BUILDING PERMIT APPLICATION Z
615 W. Aid C
PROPERTY OWNER II4FORMATION: CONTRACTOR INFORMATION: _ .6
NAME:B^Ix eN NAME:m D Z
MAILING ADDRESS,1W N[Nm wyax. MAO.INGADDRESS:
CITY: STATE Z@:WWA CITY: STATE: ZM
PHONE 81:—1— PHONE: CELL: = M
PH0NE#2: EMAIL:
EMAIL:tlN+Omamitl L&I REGH EXP. / /
PRIMARY CONTACT: OWNER 0 COMRACTOR❑ oIrmm ❑
NAME Imnw EMAIL 4NOmMISSISaN
MilKINGADDRESS I--MSSSMI M CITY STATE WA zmP
PHONE
PARCEL INFORMATION: d
PARCEL NUMBER(12 Diga Number) Na'asoaoom ZONING 'N�Ap L O
LEGALDESCRUTION(ANminM) uNEaroNsax AarNQSN FINE DISTRICr� Q
SITEADDRESS'm KD'uo,Mv, . CITY
DIRECFIONSTOSITEADDRFSS 'amUex.riamx waaowia.Nnawxvmwia.npaaeoeowx w.Dm:.umx�e..a++Nya
MTMMOJF.CFWPFNNMnOFSLOPE(S)GREATERTDANI/%: YES[] NOE. SNOWLOAD:p _,d
ISPROPWR lVCHHN2MF7I7OFTREFOLLOWWG: ic'p�s.0 nrgp�y:
SALTWATER❑ LAYS O+ R,ER/CRM❑ POND❑ WERLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEWD ADDITION❑ ALTERATION❑ REPAIR❑ OTHEROaISSISMISMSt-
USE OF STRUCIURE(nmUmvx(SMmS CaaL.aa ktNft.e.)Ba�^p"N'e"mxswAa
ISUSE: PRIMARYQ SEASONAL[] NUMBEROFBEDROOMS2 NUMBEROFBATHRCOMSS
HEAT®sTRUCRIRE? YEs rW,uanu90 YBS!/mrn)alN�❑ NOG
DESCRIBE WOAK�""^°"'exmmamaxawv.PvMMm NrlvbmlWq uel.FyaeNOMMbamm Mne.:amrumm
SOUARE FOOTAGE:IP',w
1ST FLOORTsse aq.ft 1NDFLOOR414 sq.ft 3RDFLOOR xl.ft BASEMENTm
DECKS N.ft COVERED DECK aq.ft STORAGE aq.R. OTHER aq.ft
GARAGE'e� sq.R.A.&dDi Dem F CARPORT al.ft AmdedO MmcMdO
MANUFACTURED HOME INFORMATION: -4 COPIES OF THE FLOOR PLAN REQUIRED'
MAEE MODEL YEAR LENGTH
WMTII BEDROOMS BATHS SERW.NUMBER
ENVIRONMENTAL REALTH:
SEWAGFJSEWER SOURCE: SEPTIC SEWER❑ / NEW EXISTING
PLUMBINGINSTRUCTURET Y sja NO❑ IJyec amcM1 comPle+ed Winer Adegmry Fenn
PENIMEER/FCUNDADON DRAINS PROPOSED? YESQ NO[] EXISHNG SQ.
EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS
gyrypRa MSI¢MoI Naa I M,MIS am�remN dede waymun na�P ric ofaru PemNn todM.AGnw.megemml.IaM LLny
Signature Lelw.l hdare Ntl I an Ne umasM I M1alls Eedare hal l an endlW lortmlw MIS Pa^nX anamda Naxpk IS PSapoeN.l Mee
a,ItinM Pa^niaalm M1vn aAtln neuaaery PaOes.NtluSiq arty eamnmtt MEeraryMln alMueA eepaElnO Nb pged. lNe mmamlpel
,.g„:.neNa,�.aawroNa Ne:rtm.wwa wamaee®aa..a.aw y�mm a,aayeea a rsaam cawm ar<mroNe.eeaa aerneea Pwwm
tlro awc+wxalramnaa.aa ma,auia�_m.vawNePapsm Naoxaaa aan a..:e v..m m aallonztl aasswmaim'n ncecaawaaN.ANm+w
aeysarcmnaNina,.wxDwapamaa raapenaaala�Neya.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
dCOUN Y CODE 14.BR.d3)
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3/6/2024
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