HomeMy WebLinkAboutBLD2023-01417 - BLD CD Environmental Health Review - 11/21/2023 MASON COUNTY PermItNo-01al
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COMMUNITY DEVELOPNM p
Permit Assistance Center,BUlldirig,Planning IIO0
BUILDING PERMIT APPLICATIM Z 12023
PROPERTY OWNER INFORMATION: CONTRACTORINFORlIH�' Freet Z
NAME:Smw cnewbr INAME:Maa Fhs.K2FLLC
MAE,INGADDRESS:m Camlwor MAILING ADDRESS:Seas Nations,0 SE
CTTy:clwrwaMa STATE:a ZIP:MIO CTTY:oMmole STATE:. y(p:WM3
PHONE#1: PHONE:aeo^es-agn CELL: (TI Z
PHONE#2: EMM.:mldaelim.n2rreu®amdl.wm D
EMAIL: L&I REG#HWO-- 1aaD EXP.
PRIMARY CONTACT: OWNERS CONTRACTOR❑ OTHER[I 'r, '
NAME an,vur EMAIL Mval�IleMer®amell.agT L
MAILING ADDRESS 820IC-da G clwY arM'a STATE Ca yryaMla
PHONE maaaaarm CELL uaal y
PARCEL INFORMATION: r
PARCEL NUMBER(12 Digit Namba)M(dQ24VX)M TAININGRRS
LEGAL DESCRIPTION(Abbmistal GEtl WX no FIRE DISTRICT
SITEADDRESSNrK8E 11ndl RC =SSNbn
DIRECTIONS TO SITE ADDRESS Lrl m.d Is read SE LPaN
ISTREPROJECTWPI'HIN3N0 OFSLOPE(S)GREATERTHANIOX: YES[] NOS SNOWLOAD:-2n-- sr
MPROPERTYWITBIN2NFTOFTHEFOLLOWING: rcrdWlydmmal
SALTWATER❑ LAKE[] RWERICREll POND❑ WETLAND❑ SBASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW a ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n
USE OF STRUCTURE(Ao)nue.asn,,consani rni N1pNGaral G c.. l l
ISUSE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOM NUMBER OF BATHROOMS
HEATED STRUCTURE? M ihsl adserdl❑ YES(Pm#a)Mi ❑ NOS
DESCRIBE WORKN^'a'Wrpel$tmp deYcsW nvnl Mauro
SOUA
RR FOOTA :(ry m)
ISTFLOOR al 2NDFLOOR it 3RDFLOOR_aal BASEMENT_".e.
DECK & COMlEDDECK N.ft STORAGE R.& OTHER ii
GARAG d—bsalft Attal[] Dial EI CARPORT2aaa N.R ArbcAa![] Corti a
MANUFACTURED HOME INFORMATION: 4 COPIES OF THE FLOOR PLAN REQUIRED-
1�fR'TH1�
BEDROOMS
ENVIRONMENTAL HEALTH:
SEWAGESEWER SOURCE: SEEKS SEWER❑ / NEWS EXISTDIG[]
PLUMBING EN STRUCTIIREY ME] NO❑ Ij3xr,auacF wmple+ad Wnw Adequacy Form
PERDIMITIR/FOUNDATION DRAINS PROPOSED? YES❑ Nt EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
ONMERa}mMeyw Mat scion ce NIrecurmeInforril n mey resuh In a sbp xoM1 of en sends instal on.PWgaW.gemenl of such is py
ailsould Max. pedarc Nat em tnoowar ens Ntlhar peGare Nat am entitlN to nmiw Mls penntlenpbpo thevmkmpgMM.lhev¢
obtainep pemmssion/rom all Ne rre¢essary papias,intluping any eacamenl holper or panes olinbre&reaeNinB tMs pmb¢L hhhe Pmerarlegat
Manerssandial rarsesenls that the inldmal yolial is accurate,and grams amd,N Mawn Cwnty amps m the aEm's dee[tlhtl
l l pmp
nd s nuoures)M revkw a drepadpn.Thk nmVaposatlm tn¢mes null&vest rtuwx da anhould wnsbunm is no mdmweand vti W
drsma consWcbn ae wspendadde
teo on ,
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PER I APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14l /
510neWre ofONMER(Mu&rM&iRnatl Mtlr OVMERI Data
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAG&NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
PARE MARSHAL
PUBLIC HEALTH
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