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HomeMy WebLinkAboutBLD2024-00287 - BLD CD Environmental Health Review - 3/6/2024 MASON COUNTY RECEIVED COMMUNITY DEVELOPMENT Permit AUlstance Cann,BgilaM MMnIM b'AR 0 5 �'A m Z BUILDING PERMIT APPLICATION 615 W. Alder Sheet < vROPERTY OWNRR INFORMATION: CONTRACTOR INFORMATION: IS 0 : em NAME: MRwtLC >r Z MDGwDDR E MAILING ADDRESS:MFwwY" dOYRWEEW x CITY:oir p STATE:'AWA ZIP:BB6BR --I PHONE#1: Moce.4a&a PHONE:? "14340 CELL: _ PHONE#2: EMAIL M�+gpena�pwtme EMAIL: IAI REG#.Wlumanme EXP, PRIMARY CONTACT: OWNER[] CONTRACTORp OTHERp v NAME-- EMAIL muron�rowbt�vt E � MAKING ADDRESS Wig c wyeNeB�rn OfMV CITY gaaae STATEWA ZBMe+OZ O PHONE CELL pa PARCEL INFORMATION• PARCELNIRABERHIDie Nprebay) ZONINQ±LUn rr LEGALDPSCRUTION(AbbreviM,I) FIRE DISTRICTa SITEADDRESS ME,AyditM CITYEgaib" DIRECC10NSTOSO'EADDBESS Ewtgn Hey a,YRan eWen lwt°Ra.IaRm MMtlM1 bAydpN Dr ISTHE PROJECT WITEIN WFT'OF SLOPES)GREATER THAN I/%: YESO NOB SNOWLOADE� ISPROPERTYWTTHfffMFTOFTHEFOLLOWING: /[Rskaa", WW: SALTWATER[] LAKE[] RIVERJCREBK❑ POND❑ WETLAND[] SEASONALRUNOFFn STREAM TYPEOFWORK: NEWB ADDITION❑ ALTERATION[] REPAIR❑ OTNERn USEOFSTRUCTURE(R. ..G,.Gxmvme( MW I I ShdeFmRy ReaMance 1SUSE: PRIAARYO SEASONAL[I NITMBEROFBEDROOMS a NUMBEROFBATHRODMS t HEATED STRUCTURE? YES#M BW❑ YES(a [,JWXW[I NO DESCRIBE WORK SOU_ARF,FOOTAGE:l mpp ISTPLo0R14 q.8 2NDFLDOR_q.fl TRDFT.00R N.B BASEbffiJ'T_p.8 DECK p.R. COVERED DECK x q.8 STORAGE q.8 OTHER_q.8 GARAGE aa0 p.R A(IgdM® De Adn CARPORT p.A. Anaabed[] Dnaahed[] MANEFAYTURFD IIOMEINFORMAT[ON: e4 COPIES OF THE FLOOR PLAN REQUIRED' MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERNLNUMBER FNVTRONMENTAL HEALTH: SEWAGESEWER SOURCE: SEPICB SEWER[] I NEWS EXISTING[I PLI1MBwG wSTRUCTURE? YESB NO d!`U'at.abwAc tddWa Adaquary Form PPRDIEIER/POUNDATION DRAINS PROPOSED? YESB NO[] EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS ORIERskwab$tu Nel wam'+am Niivra iffm m m .amapw a..p t nweatlon.Mkmxbtlw.t a.&Ia Oy YpWn NKM.1 Mdeta NY am tlropsar and I NNwtlrlve Nn Iyn entllEtlbnmHe N'o 1e ft eM ro EO IM xak es pupas d.l have aNy JpyaMynhpm eaM ft of awm,'mw I, enYeuerenllpberdpelves MaH;; regatlMp Mia paje0.Tndrvn illegal tapce/dve,tepAawi6 tlbi ge Iniwniwon yayyaa E yytary yd gmp vnplgeaz d Maaon Cwmty aumab Na eMve tlevviEeE popeRy entl abcwndallnre.'b+eb iaepawa^. ma admumpbaaa^eecwaw eaa a wb x�.a�a aamwxm w��swcuon o rol w�.een�.+wa IM gm a.aaa.waam avx B aapeatletl rm a paeiad a 1M aeye. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECDON. INACTIVITY OF THIS PERMIT APPLICAT F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.09A2) awre of R(ILat b signed W the DINNER) Data DEP AL W APPROVED DATE DRIRIED DATE TAGS?IOTE4/COIRDMONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH M' � oom = m = ram` " m XME # § ; G ! ` � ) 'o b ) )q| | { k \§ ! \ § \ i ® ; aJlm $ g \ Z - = J) > i } R ƒ « m nu ; ! ;)! q � - L— ; |! !! E ® ` § ; mn 4� ; # . ƒ! D ` R & (D ; © 0 mm § « &® R ` /A § 2 » rM ( (`§ ^ / \ / ! !|| $% ` \ � } ' (D ` f ` § \ \ 7 \ _ } to k) 2 � � » a § u ^ } ¥ � 2 � � � \ } mom \ %