HomeMy WebLinkAboutBLD2024-00349 - BLD CD Environmental Health Review - 4/24/2024 �LQ
` MASON COUNTY Permit No: RVK
COMMUNITY DEVELOPMENT RECEIVED
Farm It Qn¢p Oulgln4Planniq MAR 13 2024 G
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACT RI owli = O
NAME:RQ.,LJ 1.1 and Ci/of�a.�ru.Wl1[u NAME: Z
MAH,MG ADDjtr j3z1i� CTrY ADDRESS:
CITY: a f STATE:,y�ZIP. CITY: STAT& ZIP:_ m.
PHONE#1: PHONE: CELL:
PHONE#1 EMAIL
EMAR.: L&I REG# EXP.
1ARA OWNER CONTRACTOR[]
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NAME_ Q6tC PU EMAIL 'fie-.1✓[f 47
MAILING ADDRESS 146/a UTY ATE LP
PHONE alli
PARCEL INFORMATION: D
PARCEL NUMBER(12 DiVtNumbx) ,32,11(/L 110.11) wNMc RR S m
LEGALDESCRIPIION(Abbr W).T�71�A of TIQ a(O{11JT3 '�RE DISTRICT m IV 1
STTEAD)RESSI(49I .VF Nrx?ai hu 'ras Ii Fx 'ITY RPI{41 h�� m N
DIRECTIONS TO SITE ADDRESS o
AloriNsnore Rd -ro n Pess �n I a>Fr si t
ISTHEPAOJLGTWITRN'SOOFTOFSWMS)GREATERTHANI4%: YESE3 NOD SNOWLOADi
DiPROPRRTYWTTHD MFTOFTHEFOLLOWINQ �Ckddtpn6PPyj:
SALTWATER LAKE❑ RIVERVMK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TXPE OF WORK: III ADDITION 13 ALTERATION❑ REPADL Q OTIMR
USEOFSTRUCN Muuxr,cmpr.c� E )&,SIdPYI(FB_ _
ISUSE: PRIMARY$ SEASONAL❑ NUMBER OF BEDROOMS NUMBEROF BATHROOMSI
TIEATED STRUCTURE? YES ANTI YES rAer/n 1FRL❑ No❑
,QESCRIBE WORK LL
SQUARE FOOTAGE:O,vw,.q r�
I ST PLOOA_QQ q.0. 2NDFLOOR 1Gq.ft IMPLODE. q.ft BASEMENt_q.ft
DECK III II OOVEREDDECK q.ft STORAGE N.At OTHER q.R
GARAGE—N.R AuA h d❑ DeAti[3 CARPORT q.ft AN.W[I Deparl
MANUFACTURED HOME INFORMATION: Ai e4 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
Wi BEDROOMS BATHS SERIAL NUMBER
ZMMLQ2MffaM"HEALTH:
SEWAGPISEWERSOUACE: Berl SEWER❑ / NEWp ERISTINGZ
PLUMBINGINSTRUCTURE? YES®' NOS I/yu,aTar.A 4vnlolend Water Adeemry,Fusion
PE0.IMETER/POUNDATION DRAMS PROPOSED? YEW NOD Z BEISTINGS0,r
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNERaemay"'pae tlul NmYtlpn NFaavaW InramMbn mry ieeW Yi a qµ vnR wMror pemtl<nwoLWl.srA�lweapemnat rdt u bl
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and admire mareM6 Nn Ibe IMmmelbngouWeELs ical ennpm^n6employeesNMafim County eemss(o NeetlowmmessentialdepmpeM
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 1SO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.FMSON
COUNTY CODE 14,081
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DEPARiMi REVD:W PROVED DATE DENIED DATE TAGUNOTESICONDRTONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH u V—
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