HomeMy WebLinkAboutBLD2024-00413 - BLD CD Environmental Health Review - 4/5/2024 MASON COUNTY COMMUNITY SERVICES Pernik No: l 06 �113
PERMRASSISTANCE CENTER: <N
.BWLOING.PUNNMG•PU&.IG NFALIH•F(RE MARSHAL RECEIVL -� \2 et5 w.Hex Nnsl.Sndlm,NM Br5&
Mms SeMn: 975-.%]O e#J63•Fu:(M0113)-rlrB Pbla
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BUILDING PERMIT APPLICATION' 4 2024
PROPERTY OWNER INFORMATION: CONTRAQ9trX IATce
LV
NAME:W WW.Feuam NAMIlm
HARING ADDRESS: aW Eae all MAILINGADDRESS:PD am NJY.�P
CITY:— STATE: ZIP'.Mal CITY.
wa.n STATE:Wa ZIP:Ill
PHONE#I:wr.I'll PHONE:za�'MI •z CELL:T 731-aM
PHONE 42: EMAIL:aawaaAmwRmIlml.ma
EMAIL:aaaawaanRNawamm LAI REGWareaON^uaw. EXP.CUl
PRIMARY CONTACT: OW'NERO CONTRACTOR0 OTHERE)
NAMES.. EMML
WRINGADDRESS 'mtNawmwtlm+w rla.amaa+ap CITY°aAaa STATE XA ZIP. In
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PHONE zaa—x - CELL>°ap>m'a m C
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PARCEL INFORMATION:
PARCEL NUMBER(12 Dist N.l gnvwwab ZONMGa"zb +—
LEGAL DESCRIPTION(Abba fated) » FIRE DISTRICT
SITEADDRESS IWEaa— CITY' aaa
MUCTIONSTOSITEADDRESS weoen•wnta.allanEYMrtatl.wan onEqex 1p+wapbma
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN If%: YESO NO[] SiOWLOl
ISPROPERTYWMIN3MITOFTHEFOLLOWING: lmA .aaaaal w
SALTWATER[] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONALRUNOFFO STREAM❑
TYPE OF WORK: NEW 0 ADDITION 0 ALTERATION❑ REPAIR❑ OTHER Di
USE OF STRUCTURE(Aaa ama Gam,.clww•«aIfill Al—al Mall gNanp—
ISUSE: PRIMARYO SEASONAL❑ NUMBEROF BEDROOMS a ahem NUMBER OF BATHROOMS-2—al
HEATEDSTRUCNREq YESMI Bw Di YESIn Jgglal NO[]
DESCRIBE WORKaA° wmwa.awo'�woww.ms®wwawa m.worm...a.rrw.ae..,ulne•ema.ue.mw.nees
SOUARE FOOTAGE:
IST FLOO l la^ra' aq.ft. 2ND FIAOR M.ft. IRD FLOOR_aq.ft BASEMENT_N'It
DECKza' aq.ft. COVERED DECK'•_aq.ft. STORAGE_ ._eq,ft. OTHER_eq,ft.
GARAGE_, R. Mal Oela 11 CARPORT•_q.R AlmMrdo TMmrI d❑
MANUFACTURED HOME INFORMATION: a9 COPIES OF THE FLOOR PLAN REQUIRED-
' MAKE MODEL YEAR LENGTH
WIDTH BECROG)l RATES SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGFI3EWER SOURCE. SEPTICO SEWER / NEW EXISTINGO
PLUMBING IN STRUCTURE? YESOi NOO lfv aawh comy/rad ill AdMwy foam
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOO EXISTING SQ.FT.
EXISTING BEDROOMS a PROPOSEDBEDROOMS TOTAL BEDROOMS?
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MWree pemamm Imn all ae napesaery we, araeaemem IM]x WpaMq dMlxeel 1pmElnq Ns p'ded,hn wanr Wk
npmxNauw.+epna«,tl utl me imwmrwn PmAa.v a amWxe na gra+n mdwee.dM.am eamy arrAu mme nice ae.vibea Wwear
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PROOF OF CONTINUATION OF WORN ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.("SON
COUNTY CODE 14.0.42)
S'gnaNn dOYMER Must Galanad Mtlta OWNERI DaN
DEPARTMENTAL REVIEW APPROVED .DATE DENIED DATE TAGS/NOIESKONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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