HomeMy WebLinkAboutBOLD2024-00216 - BLD CD Environmental Health Review - 2/21/2024 MASON COUNTY COMMUNITY SERVICES Permit No:ry([Jr.�lLd.49 \f/A
PERMITASSISTANCE CENTER:
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E15W_ANa Sts SHNba,wANW FEB 20 2024
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BUILDING PERMIT APPLICATION 615 W. Alder Str
PROPERTY OWNERWORMAITON: CONTRACTOR INFORMATION:
NAME:IrFinaMMDAner RDDDE NAME:aODD %DRD�TICN
CITY GADDRESS: STATE:DA Z[p-. MAH.ING ADDRESS:]STATE
PHOY RMEYIEw STATE:WA ffi:rMae MoNeurEnEw STATE:WA ZIP:ww
PHONE NI:-1-1 EMAIL:D �) CELL: 1
PHONE 62:raroetnt EMAIL:; 2 1
I EMAIL: +^^ L&I REG# EXP.
j PRALfRY CONTACT: OwT S cBNTRALTOR� OTNm❑ S O
NAME KENN a N WMET RWGE EMAIL Partlunythde�gmeA.am
MAILING ADDREMMM EMASON INS DRW CITY OMP m WATE WA EIPrMtF D z
PHONE Wear+rer CELL 928rOrtMD r
PARCEL INFORMATION:
PARCELNIIMBER(12Di9it v)IIAw-I>rM® ZONDfG QE51 V V Or)W)�• z
LEOALDMCRIPTION(AbDrrri ) IATId ILIAD1MCtMtm vrt+gsEsv+Ote,swte¢JRE DISiR1�SS
$READDRESS at1 EEENsoN RIDDE RD CITYORrsEnEw >
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DIRECTIONS iO4TEADDRFSE dfWnn We RE.dbOm0ey3]:xenrtvuemea Wtlbnuson LeAe R¢Maeon eesm RJE
NTHEPROD:CEWRHD'1JMFFOFELOPE(E)GREATHRTHANIO%: YESH NO[]
ISPROPTEERD LAM
[I FT OF TBE FOL[] IWD: RAWTLA¢D
SALTWAIFXp LAKE❑ RIVER/CkEIX❑ POND❑ WERAND❑ SEASONALRllNO£FO STREM4(]
TYPEOFWORE: NEWtk ADDITEOND ALTERATION❑ REPAIR❑ OTIBP. n
j USE OE STRUCTURE Ix.N.�Ar.Ter rer#aI�ID�E
Istm. PRDIARY® SFARONAL❑ NUMBEROFHED&OOMSs NUMBEROF HATHROOMSIa tR
IF.ITID STRUCTURED YES rrh reeW❑ YF3N(4Q/M@+$ woo
DESCR®E WORK NE'N RNBIE RTORY HOUSE wM
SOUARE FOOTAGE:a.ya.-.
ISr ELOORIDNI sq.R. 2NDFLOOR_,R. JRDFLOOR p.R. BASEt.¢NI'_,&
DECKtD2r 1.& COVEREDDECR_N.R. STORAGE aq.& OTIffR &
GARAGEM eq.& 9nxAadH Dam 0 CARPORT %&Nixha[] mhd[]
MANUFACPURED HOMEINFORMATTON: •C COPDS OF THE FLOOR PLAN REQUIRED•
MAKE MODEL YEAR LPNGTH
WIDTH BIDROOMs HATHS SERUL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE NMR SOURCE: =CA SEWER❑ I NEW❑ EXISTiNOo
PLOMBPIG M sIAUCTURE? V :k NO❑ j{ym.vlMEhwrylvlAWo/cAEyinryF—
PERB.fl MT OONDATIONDRAENSlPRROPOSEDI YES NO[] ERISTING sq.FT.
EXISTING BEDROOMS __.. PROP M BEDROOMS-.-�}' TOTAL BEDROOMS[
pvmn auem pemenl Neuce:ey
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT 15 BY MEANS OF INSPECTION INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.IMASON
COUNTY CODE 14.00.42)
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SgyMWetl OWNER(MmtWaImDW LV mr OWNERDDIM
DEPARTMENTAL REVIEW APPROVED DATE DEMIb DATE TAGSMOTIUWONDITIOM
RING DEPARTMENT
PLANNING DEPARTMENT
FIREMARSRAL
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