HomeMy WebLinkAboutBLD2024-00341 - BLD Application - 3/18/2024 Bid ZOIL(-0034
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MASON COUNTY
COMMUNITY DEVELOPMENT MAR 12 2024
R.It ,mu.m Center.B.Wd e,NannlnE
615 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRALTORLNFORMATION: �M
NAME:Dada L.TgMa NAME:0rew9ib '"
MAIL NOADDRESS:I�°�r w MAILING ADDRESS:13383 mxw IMA ZCITY:3Nmeak STATE:WA 21P.MW CITY:saexea STATE:-A ZIP:paw8zo�4PHONEM1:3mylo PHONE:3as — CELL:PHONEM2: EMAIL: fI
EMAIL:mNwMOylamm£mm I&S REGB EXP. / 1
NAME
CONTACT: OWNERp CONTRA EMAILRp OTHER
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MAIUNGADDRESS I333aIrw RD MV• OTY 3awdmS STATE WA ZIP 3 G �
PHONE M 710 CELL 3m2lONM Z ,J
PARCEL INFORMATION: 0 LLI
PARCELNUMBER(12Di9nN.IxI) '22°330'al°a2 ZONING RRS (�
LEGALDESCRIPDONIAbbr wv ) PaMawt T SDCATR2 FIREDISTRICT—d2TI,,w m
SITEADDRESSMONESWLIMDeaalb RD CITY r
DIRECDONS TO EDE ADDRESS Ser LrwkDmm$m Rmdm Pentlmr LW.WM5 bd peerb awpaneM Z
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ISTMPRWT WPFHIN3W"OFSLAPE(S)GREATERTR 14%: YESp NO[a SNOWLOAD:!L�f
ISPROPERTYWTTHVI20DFTOFTHEFOLLOWTNG: $9daSNm :
SALTWATERO L E] RIVERICREEK❑ POND❑ WED. O SEASORALRUNOFF❑ STREAM[]
TYPE OF WORK NEW p ADDITON❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Amb C� r)r amps.r yE.leno
ISUSE: PRIMARYp SEASONALD NUMBER OF BEDROOMS 3 NUMBEROFBATHROOMS a
HEATED STRUCTURE? YES On ,WIV p YES rPm(+l o/auy❑ NO❑
DESCRIBE WORA N^'CmNudtlmdPnmary Reeidanm
SOUARE FOOTAGE:SaaPmW r-IOAh
ISTFLOORZ212 aq.R 2NDFLOOR sq.fl 3RD FLOOA_aq.R. HASES¢1gT730 3q.R
DECK VO sq.1 COVEREDDECK m N.R STORAGSJ,31D K.fl OTHER 3a q�. PflR
UARAGEla12 Iq.RArt WEj Demahed❑ CARPORT q.fl Attached❑ DamchW❑
MANUFACILUD 4 COPIES OF THE FL OUR LAN BEQUIREDe
MAKE MODEL LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAG ]MMR SOURCE: SEPTICEI sEWEE❑ I xEwp ExISTING❑
PLDMEINGn,ismUCTIDtE? YESp NOD lfy armch�mpkW WawAdaa Forty
PERIMEIDUPOUNDATION DRAINS PROPOSED? YES NOD EXIMNGSQ.FT.
MSIING BEDROOMS 0 PROPOSED BEDROOMS S TOTAL BEDROOMS 3
OWNEReckrmMep®MMeM�NeYm dbm�ele IMm�wtlon mNrtuMb eYW epkaGry VanrcmmlbpltlnMaWamwilNwM N M
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repMsemmlw,raPa.anumx Namwmdbn pmweae d.�na.na p$enb nPl�ama$uonn comity e�ae mam.w�e oasrloae pmpero
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUIfry CODE
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DEPARTMENTALREVFEW APPROVED I DATE DEN® I DATE TAGSMOT CONDTI'IONS
BUDDING DEPARTMENT
PLANNMG DEPARTMENT'
FlRE MARSHAL
PUBIICHEALTH
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