Loading...
HomeMy WebLinkAboutBLD2024-00169 - BLD CD Environmental Health Review - 2/13/2024 MASON COUNTY RECEIVED r COMMUNITY DEVELOPMENT Permit Assistance Centei,Builain&Planning FEB —7 2024 eBUILDING PERMIT APPLICATION stlue Z� OWNER 71 N: Q NAME: 6aM 61 NAME:C Q- MAILING ADD S: 31af a MAILING ADDRESS: CITY: STATE: WA ZIP: CITY: STATE:---L, ZIP: v ! PHONE P'Y,193 PHONE: rrt CELL: PHONE#2: EMAIL: I• �0 EMAIL: :•'1 L&3 REGk Y PRIMARY CO A q,� NM p CON l THACI9R Mt p E W NAM " "fa D 1"" EMAI �t"2 NAME PS aL 6 tCN•J CITY!� STATE 9P PHONE CELL - 0- PARCEL INFORMATION: PARCELNUMBER(12Digit Nuonter) I-rJ OO ZONING LEGALDESCUPDON(Ab �p.. t•F N -U FIREDISTRI S CP/' SITEADDRFS ailcil "Q/1�S X1 CRY S DIRECRON3 ADDRESS 11 i O IS THE PROJECT WITHIN 3N"OF SLOPE(S)GREATER THAN 14%. YES[] NO{(SNOW LOAD:# ISPROPERTYWO 2NFTOFT FOLLOWING: KomkalnmoneW SALTWATER❑ LAKE[] __ARIV.�ER/CREEl POND[] WE )K[ SFASONALRIINOFF❑ STREAM[] TYPE OF WORK: NFwT9_ADDITION p ALTERATION❑ REPABt❑ OTHER FI USEOFSTRUCTUREi%mrdimm CvgsC—md1BN(eT ) IS USE: PRIMARYY)ff-SEASONAL❑ NUMBEROFBEDROOMS NUMBEROFBATHROOMS HEATEDSTTtUCTAET YES rym//ymay NOD DESCRIWWORK fA Ok SMARE TA E:p.P. q ISTFLOOR13qSaq.ft 21NDFLOOR_sq.R 3RDFLOOR aq.R BASEMEH_ad.ft, DECK s R COVERED DECK 3Q3 sq.R S[ORAQE R.R. OTHERaq.ft. GAEAGEY10 K.ft Atmaha#)a DeracAtl❑ CARPORT K.ft Azad Defy v [] MANIJFA(TURFD HOME INFORMATION: ei COPIES OF THE FLOORPLANREQUIRED- MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBER ENYHLONMENTAL HEALTH: SEWAGESEWERSOURCE: SEPDCg SEWER[] / NEW�C EXISTING PLUMRNr N STRUCTURE? YESO NO p {(yv,aa'a'dr�cr pleted lFderAdrqu yForw PERIMEf61UFOUNDATION DRAINS PROPOSED? YES[] NC Rai SQ.n. EXISTINGHEDROOMS PROPOSEDBEDR , TOTALBEDROOMS OWNER hnaMaW.s NRatl.MaLm Wmadaer-WonnWs^I ream,F a dam w dram"or among iarmYm.Ane-A-d"'awM kW agnandeI goe.I added tlu11 an ft uwier aM I NMmr attain,Nil l am em9ka M re¢rve Nis p ming and loan me x ssINoWsaa.I nnre Wtamea pennistimhcm an nre mceaten 1>emn.inmtame am eaertgnl MMarur parties W Mlereal regaNime Nrs[]oleos. me owner or legal laplaganleWa,legwKstng Ne FlvnnEm Wsia�is axu2le a+a gmfs emplgeea W Meson Lanry aasss to IM anove mmar eta morin 1 and swaun(s)ro"rewen ma Napxgm.rIm pmmueppocaeon eemmes nml a voa nwm mammoaaea`nnnsWdon N na mmme�cea wnnm+eg aaya dracanndmtn won Isemmendeaty a Pmna a tm days PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT PPUCATIO F II DAYS OF MORE WILL CAUSE THE APPUCAT10N TO BE EXPIRED.(MASON COUNTY CODE 10.0R421 K Sg ER T, nsi OWN (We be eivlea bvtbe OWNER) OAR DEPARTMENTAL REVIEW APPROVED DATE DENIED I DATE I TAGSTNOTESICONDTTIONs BUILDING DEPARTMENT PLANNING DEPARTMENT FIRB MARSNAL PUBLIC HEALTH I e { j � � � § ^ 7 40 - - | , vapor \ • • . . 4 $| | ) § J h| § /} 17 ; ©pzz , R to 6m | §N § | §[| ! § Hi. \ j / i � C \ { § . . . . .