Loading...
HomeMy WebLinkAboutBLD2024-00093 - BLD CD Environmental Health Review - 1/23/2024 // MASON COUNTY COMMUNITY SERVICES Pe .RN6:ZDOT/Wr—Dw13 615 W.AWrSYr( - / ' PFRMliAS515TANCECEMER: a W. . 81xeu�WA9BSel RECEIVED P, SMN'(38*'N 16 eH 3R.F¢'?3K49-M8 AM1 a�P6Ge= 6 P n �m 0 JAN 2 3 2024 BUILDING PERMIT APPLICATION m PROPERTY OWNER INFORMATION: CONTRACTORINFORMATTON- Z NAME: A q\& + t6armovIP NAME < . MAIIdNG ADDABSS:Po (T MAIIANGADDRESS: CLTi:tw .}t�STAT&ut CITY. STAT& Z@: c PHONH#1: 3Go-7ol - ysi•{ PHONE: c E CELL:, . PHONE#2: EMAIL: Th EMAII.: _/ IM REG# M._( / O PRIMARY CONTACT: ovvmp- [DNT =Ro oTmoto m NAME EMAIL MAH.BIGAODRHSS cnyr STATE — PHONE L2 PARCEL INFORMATION•NUMBER PABCEL (UlhgitNmsba)iJ JZIZIn 5-DODOI6 zorm�D R2S LEGALDHSCHIl`ItON(Abbmiat6O L4kr_Li Mef4k 111aF 16 PIREDLSIRICI SIrEADDRrsS 7// E l3a1/e.,-Noce Of tEn $wa44u.-� DEtEC110NS'IOS[TEADDRESS E/1/ 4,A4 CA ie E 1 .la. ISTHEPROIECFWlr'IDN3NWOFSLOPI(S)GRRATERTH 14%: YESO NOR SNOWLOAD,26,d IS PTWAMYWII'HBI3WFPOFTH&FOLLOWHND ATdwxmf sALrwArER❑ I.»m g'iirveRrcRHER❑ PDND❑ warLArID❑ sEAsoNALaaRIOPP❑ sIRRAM❑ TMPEOPWORTC NEW[) ADD [] ALrERATIONJA REPA[R❑ OTHERF1 DEBOF sranrnmnl �a �.e�var.Rel_Ca b/.. aOS;A A,t+Staso....I 2xd tent_ IRi PRIMARY❑ SEASONAL NOM)cPmmmooM8 Z. NOMBFROFBA]HROOMS 1 HEATEDmucr REI YES fPweaNE LeYYES /ar&dd❑ NO DBSCRIDE WOBR f - SOUAREF'OOTAGE: O B1_ SS ISTPIAOR(Cp�v ft. 2NDPLOOR eµ8 3RDPIOOR N.D. BASEA�N'P_eq.a DECB_,q COVEREDDPLR aq.a STORAGE K-k OTHPR_aq.a cAanes_g.a AC led❑ Dm af] CARPGRr %.,IL A w <] Det [] - MANUFACTURED HOME INFORMATION: ' •C COPIES OF THE FLOOHPLAN REQUIRIR IM' MAFE MOOHL YEAR LENGTH WIDTH BATHE SERIAI.NOABPB ENVIRONMENTAL HEALITL• _/ ._ SEWAMMwERSOURCE: SSPDC�.( SEWER❑ I NEW❑ EImmRa� �GwmucTuEE9 Y Er- NO[] Ij�nSm Amnp]aed lVmvdGgmyFam PERII.fETBR/FO[EiDA3IONDRAWEPROPOSED) YES NOD EasmIRGSQ.n. E%ISIINO HPDROOTeS� PROPOSEOem]epOMS Z- 1'OIALePDROOM3 `L-. oWNEReemw/aE9etlule,lmbknol6maamlmnman mry�emmm•MP VlcvervPemRmmmt MmWmaemnnmmMaly eW'aeve Mtru.l mmeam Iantlie owratl IM1alntlaAmauiimnadNm m mma.a&GanaW m b 8nwk es wnGn%ei 1 hne nmam G�n�mrmmma.���wm�6.nr...va.rtmmeaw�am«riwmanowaa.a.m.wm�axad ' �=tea mP�a am a.udmGm>,Pmmen a.wmm aw 6eaee mgaM N Naa1 r�.�m aye.aee de�am P W.y ad mom.e(q rs mle.ue wGe®=M1 ma Pm�anaoo�ee�na an awe a.lm:s.wndme meflna�a nam�mmxe wN.1m d�aRw�m��wxa eu6enxaaaPmmalm dq.. ' PROOF OF CONTDIUATION OFWORNON THIS PERMIT IS BYMEANS OFINSPECTION. WACTMTYOFTMS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSETNE APPLICATION TO BE EXPIRED.(MASCN COUMCODE14.UA2) X - �- S�gMave Gf [Must he sivned Wipe OWNERI Dab i __ _. ... .........�_�..14 ...__ ...... ......_c i'AFTit4YFFO!!: .nn _�:, _nFA®i '.Dr1D'R:^. -TAc,E�NOTE�pNpITlolys< BUDDING DEPARITT031:C PIANNNGDEPARTA= PIREMARSHAL P=CHEAi.TH