HomeMy WebLinkAboutBLD2024-00434 - BLD CD Environmental Health Review - 4/5/2024 MASON COUNTY P.riNil R o �
COMMUNITY DEVELOPMENT
Permit Assistance Center,,Building,Planning MAR 14 2024
BUILDING PERMIT APPLICATION 61,5W Aida Street
PROPERTY OWNER INFORMATION: ONTRACTOR INFO ��7/,VION:
NAME: a' r NAME: Y/ ...1
MAILING ADDRFPSS: / O. MAILING ADDRESS: ?CITY:C3CIFo..! SATE: t$LW CITY: STATE: ZIP:
PHONE#1: PHONE: CELL:
PHONE#2: — EMAIL: Lu =
EMAIL: A :--V�Plobvev Will
L&I REG# EXP.
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PRIMARY CONTACT: OWNER COW11AC1POR0 OTHER[I z Q
NAME EMAIL O LAB
MAIWNGADDRESS CITY STATE_ZIP_
PHONE ELL _
PARCEL INFORMATION: �8 A
PARCELNUMBER(12Digit Number) 123 /61306000 ZONDIG W
LEGAL DESCRIPTION(Abbrtvfeml) FDIEDISTRICT
SITEADDRESS 7. `YIG n CITY
DI ONS TOSITEADDRES$ r.r IF r r 0 Co qP'ro,
Zt
MS EPROAUWITHMN3 OFSIAPE(S)GREATERTHANI4%: YES[] NOASNOWLOAD:_Psf
ISPROPERTYWITHIN200"OFTHEFOLLOWBNG: RhaaannarosNl- Q
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION[IALTERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE fail CAA Cossa l#kg.Es)
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOl NUMBER OF BATHROOMS
HEATEDSTRUCTURE? YES_ faa,8kW❑ YES BgE,0 NO❑
DESCRUIE WORK IYI f-IO
SQUARE FOOTAGE,Iswaa F
ISTFL0OR_j6aq.& 3NDFLOOR_aq.ft. 3RDFLOOR sq.ft. BASEMENT sq.ft
DECK_p.R COVERED DECK_sq.ft STORAGE N,1L OTHER s9.&
GARAGE_K.ft. Attached[] L)sl Fd[] CARPORT sift Attached[] Dawhil
a MANUFACTURED HOME INFORMATION: ( e4 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE r164hi JO� MODEL u)IAjafe YEAR�t O LENGTH_
W 111 /Nff BEDROOMS BATHS 'Z SERIAL NUMBER AMelIIk J'Lb
ENVIRONMENTAL HEALTH: —10—/
1150
SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXITING)(
PLUMBINGMSTRUCTURE? YFS'j NO❑ tfy axhroaThslad Wafer AdegmryFonn
PERIMETER/FOUNDATIONDRAINSPROPOSED? YES❑ N?p� EXISHNGS(I."..
EXISTING BEDROOMS doatVid PROPOSEDBEDROOMS_A__� TOTALBEDROOMS
OWNER a low i dWa Melw t,m me W er and i e i hO:metlm my mm ens alcq m w lhs M mYl rewsllm. comas p POwd i hsas N b/
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laetlare all am Me wmer ens NeM1ertledere tlNl em entllleabrecNve 1MaPo�II entl to ao MermM eapmpo¢ea.l M1aw
o4lainea pamv6aionhomall Pe ne iama peNH,idedisv eny arsi gilM1oleMor PoM1iea d i C, ntyi snOlM1is purled. it wnwr m la0tl
rtpmseMatiw,npreaeMSlM1eI ue Inlormelkn pmWeea is acNrele W 0renls employees W Mason Cwnty saes[to Me eeow aesuiEea W WeM
aaebuolv .kr rtWex ma asxion. r. pw 010i®4on beCOm06 nullawle•warkwauNoraetl WNINteon is nNmmmen¢a vA1Nn tNl
arya w H mnYrvc4m voh K suapeMea lu a pvW N 100 0eys.
PROOF OF CONTINUATION OF WORK 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.(NABON
/ COUNTY CODE 14.08.42)
BpnaWm of NER M DMe
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGRRNOTTSCONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FINE MARSHAL
PUBLIC HEALTH N (g C
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