HomeMy WebLinkAboutBLD2024-00301 - BLD CD Environmental Health Review - 3/6/2024 MASON COUNTY Permit No&� -
COMMUNITY DEVELOPMENT, o s 2024 �J
Permit Assistance Center,Building,Planning
BULDING PERMIT APPLICAMON 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:�aoeedu NAME: M
MALINGADDRESS:�MA`m MAILING ADDRESS: z
CITY:MemmP STATE. A ZIP:WW6 CFTY: STATE: ZIP: C
PHONEAI:�-Irss PRONE CELL
PHONE Q:>s EMAIL: = _
EMAIL: Idl REGIf EXP. / /_ m O
PRIMARY CONTACT: OWNERS CONTRA rot❑ OTIEIRO r z
NAME-- mum EMAILO Ny4 �
MAIWNGADDRE63613710Aro1W C11YYFmyPd SPATEYIA ZIP� 2 m
PHONE 0131 z
PARCEL INFORMATION: D
PAACELNLTIBER(12 Digit Numhr)�'M�N ZONING
LEGAL DE MFDON(Abk"w ]tl IN FIRE DISTRICT )
SITE ADORESS�EN:'^^umorw CDypepwir.
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IS THE PROJECE WHIDN3M FF OP SIAPF(s)CRPAiEB TR.NN M'/.: YESQ NO8 SNOR'IAAD:_ryf
ISPROPERTEWIT Fi OF THE iOLLOWNG: ( wEAmND G
SALTWATER❑ IeKFE[e MVER�CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ bTREAM❑ m0
TYPE OF WORK: NEW El ADDITION❑ ALTTRIATRF.N❑ REPAIR 1] OTHER r1
USE OF5BUCNRE LA+H+a.aog.c�..wery ex/
IS USE: PRIMARYa SEASONALQ NO..OFBEIMtOOMS NUMBEROF BATHROOMS
NEATEDSTRUCTUREP YESINk &WO NO[]
DESCRIBE WOAK �
SOUA_M FOOTAGE o..e. y 71Y11 ._
IST FLOORIM s,A. 2ND FLOOR sI.R. 3RD FIDOR s¢A BASEMENTM sq.R
DECK_p.ft COVFREDDECK3M al.A STORAGE sq.R OTHER zlfl.
GARAGE= , A .iaa. E] Ow 13 CARPORT v A 411x [] Dee AM❑
MANUFACTURED HOMEINFORMATION: '4COPEESOFTHEFLOORPLANRE000tED-
MAKE MOD YEAR LENGTH
DEDROOMS BATES SERIAL.
ENVIRONMENTAL HEALTH:
SEWAGEWWERSWRCE: SEMCE] sEwER❑ I NMEJ EXISDNG❑
PWMBINGN STRUCTVRE"f YISB NO❑ Ntg.mid eoemleld wclm,ldepuary Farm
PERIMETER/FOUNDATIDNDRALVSPROPOSF.DP YES[] NOEl E%LSIING SQ.FT.
E%ISTTNG BEDROOMS PROPOSED BEDROOMS1L TOTAL BEDROOMS
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PROOF OF CONTNUA1113N OF WORK ON THIS PERMIT IS BY MEANS OF NSPECTIOR MACTNRY OF THIS
PERMIT APPLK:A7OF 1N DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPRED.(ANION
I COUNTY CODE 19.NA21I I
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DTPARTMBNTAP.REVIEW APPROVED DATE DENIED DATE TAGSNOTILSICONDIHONS
BUILDING DEPARTMENT
PLANNLNG DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH I
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ASON LAKE I
CEL # 22233-51-00
56 9)o E. M )R W.
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