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BLD2024-00545 - BLD CD Environmental Health Review - 3/21/2024
MASON COUNTY COMMUNITY SERVIC it No: �V�:JD ¢ PERMIT ASSISTANCE CENTER: 1'cM t •BUILDING•FlAMNING•PUBLIC NEALTH.£IRE MARSH.V. L_Sl1'G 615 W NOer Str SMM4 WA 655B1 Pllgre B~(( )21�11. EL". Bb2V paB MAY O 12024 MAR 21 2024 BUILDING PERMIT APPL CEIVED 61 W.Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: m NA IF Rick �. P 1Lia D$� NAME: N R b1 y MAILING ADDRESS: PO Ro)[ 1'� MAILING ADDRESS: c C7 CITY:Q.nSLSTA]Ti: ZIP:_ CRY: STAlTi: ZB': YEW PHONE 75Y-Lv(.-99D1 PHONE: 0- CELL: �� PHONE82; EMAIL 'L w; EMAa: arose 13 v , AI .re.PT L&I REGa#Sb.N Zq��l-EXP.�I�-I�oZ D z PRIM ARYC NTACT: OWNER❑ EONTRACTMOARg OTHER❑ NAMEUjI MA)WNGADDREZ CITY ATE ZIP S m PHONE CELL Z PARCEL INFORMATION: D PARCELNUMBER(12D19it Nul *eO 2' 172111fr1f) ZONING �r!p LEGAL DESCRIPTION(Abbm .iWt)��a y�A tfi-(�OVI 1�}y FIRE DISTRICT C� SITE ADDRESS ISO E Sllg4 wtJ+u LN CRY GIwPCY 1lt11 W* joZDly-9 9;%DIRECTIONS TO SITE ADDRESS /f�11WJ (� p+010 FAaK OnA,,rwyj 6etll Tz,g," 5,uJj, f, ,A MS EPROJECTWPTHIN3MIFFOFRIAFE(S)GREATERTHANI4%: YES)d NOD SNOWLOAD:_p¢f IR PROPERTY WTTHUN 200 FT OF THE FOLLOWING: 1tTrlallYdapgy/: 1 � SALTWATER LAKE❑ RIVER/CREEI POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑ IIOw?w/ IBU3 w TYPE OF WORK: NEW 0 ADDITTONp ALTERATION1 ❑ OTHER ❑ '40 USEOFSTRUCf (Ru Cw CmnwddBwg.-)—m (Ar REPAIR❑ AA.lw4tl .� ISUSE: PIUMARYK SEASONAL[] NUMBEROFBEDROOME_,_NUMEEROFBATHROOMS I HEATED STRUCTURE? IFIwe BW ylpl PIMBL¢�❑ ❑ ,F Aa DESCRIBE WORK I NO SQUARE FOOTAGE,Ibmame�l IST FLOOR 6q.ft 2ND FLDOR gq.ft 210 FLOOR eq.R BASEMENT sq.ft DECKJ,'�Ogq.ft COVEREDDECKj.!L-uI.ft STORAGE sq.ft OTHER Kgft GARAGE gq.ft. AUwched❑ D-w0 CARPORT N.ft AU.Mld0 Demhed❑ MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOOR PLAN REQUIRED- MODEL YEAR LENGTH TH BEDROOMS BATHS S ENVIRONMENTAL HEALTH: M SEWAGIUSEWERSOURCE: SEPTIC FEWER❑ I NEW❑ EKISTWGA PLUMBING IN STRUCTURE? YES® NO❑ IIrm.p mwWm Mmer Adegmry Form rJ,�¢.� ' PEUMETERIFOUNDATTON DRAINS PROPOSED? YESjd NO[] EmmNGSQ.".. EKISTING BEDROOMS PROPOSEDBEDROOMS---j_ TOTMBEDROOMS--A— OWNER MnvMeEOu tlul xMnuam N ineaurele IMmnNpn mry mwttln a Yop xaM1 wEerw LemYlmxelNn.MnoMelJemeMolmM Isq vgn "MIOw.IEGeB Nell em Me wmer enE NnM1er Cetle2 tlullmn entlXBE Ip IBCaM Ilh permq anE l06 Me wvR azprtyoseE.l M¢e oMelnetl permis5on hwn Ml Ilse necessary pelves,intluEinO eM¢ax^wM MIEa a pelves IN Y•lerut mpeNinp Nis pgect TM w.nerw NOel rema¢eMeli (s)for mIMINe inlamallm poWOeC i¢ecwnk eN Oren18 employees al Masm Cdnly exeubNe tlow EewiCM gaperly an0 orffu ls)Mreuk'xeMm¢p9c5W IllspmmNeppllu0m Mmmen nWl6 wiE Mxafk weuNpllxeU PopsW cWlbrim vmmervxO eltltln 1Po Eeys or it mnslwctipn xwk¢wapenaeE lw a DenoE IN f BO Oya PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERRR��11jj APPLICATION ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EKPIRED.IMASON E COUNTY CODE 14.08.42)(/� -? / Z,DZI7 $pvWreM RIMI Wslmnsdbv#ie OWNERIOWNERI IMa DEPARTMENTALREVIEW APPROVED DATE DENIED DATE TAGSTIOT CONDTI'IONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH ON.s \ %0\\ \ � 00 - � \ «\ Jr © R/ qE3 !R\-ao /!x#\ ° !a!/�! 2,10. t : ^5 'A| !6 b;