HomeMy WebLinkAboutBLD2024-00381 - BLD CD Environmental Health Review - 3/20/2024 MASON COUNTY Permit I t'Ck
COMMUNITY DEVELOPMENT MAR 2 0 2024
PermitAssis mm Curter,Buddmg,.Planning 615 W. Alder Street
BUILDING PERMIT APPLICATION 2Dl6 �)Je) Z.
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 1D,2v1 1 ,B- COCc`4/ NAME: Al ,q
MAILING ADDRESS: /—Y,3 E MAILING ADDRESS:
CITY; 5'/7e/{rnv STATE:WA 21P: 8.58 CITY: STATE: ZIP:=
PHONE#l: 3& -333 —677co PHONE: CELL: T
PHONE#2: EMAIL:
EMAIL: in' nn c L&I REG# F=
r /
PRIMARY CONTACT: OwNERg CONTRACTOR❑ OTHER❑ MAR 2 2 2024
NAME �wn er EMAIL
MAILINGADDRESS CITY STATE _
PHONE CELL
PARCEL INFORMATION:.
PARCELNUMBER(12Digd Number) 32.o Z2—/Z -90OZ2 ZONING /5 /2S
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
STIEADDRESS /3&3 E-. 6r,--S uicu7y She//ria CITY She/16d7
DIRECTIONS TO SFTE ADDRESS N � S. ran /�/y R-on CrrS-FU,' a -Io �>nRoe/*
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NOV SNOW LOAD:--psf
IS PROPERTY WITHIN 200 FT OF THE FOILLOVANIH ( kF AatlrAuwlyl:
SALTWATER❑ LAKE❑ RI'VERICREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER
USE OF STRUCTURE(Revldew:e G�r.wnuf814,Eu,i /7 eslc,Ience a s h�2 err a.> 21wo ,e
ISUSE: PRWARYfij SEASONAL[] NUMBER OF BEDROOMS—
, NUMBER I'll
HEATED STRUCTURE? YES4BW❑ YES( ur .] ❑ � ri T
DESCRIBE WORK 410 Y 70 V11 v 6 W u cinc &17d s c /off q�
c P N
SOVARE FOOTAGE:IQropo..=e7 �.
1STFLOOR SD sq.R 2NDFLOOR sq.IL 3RD FLOOR sq.ft BASEMENT sq.R
- DECK etl.R COVERED DE(YC�sq.R STORAGE sq.R OTHER _sq..It.
GARAGE 1707 sq.R. Attu WX Detached❑ CARPORT sq.ft. Avached❑ Dewct ea❑
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOORPLAN REQUIREDn'
MAKE YEAR LENGTH
TH BEDROOMS BATHS NUMBER
ENVIRONMENTAL HEALTH:
SEWAGUSEWER SOURCE: SEPTIC SEWER❑ / NEW EXISTING
PLUMBING IN STRUCTURE? YES)o NO❑ lfyer,auacdr completed WawAdeguacy Fora,
PERIMETER/FOUNDATION DRAINS PROPOSED? YES)9 NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS.__ I_ TOTAL BEDROOMS I
OWNER acknovviedges Out sobmisslon of Inaccurrakdamation may result In a stop work arder a perml rewaatim Acknowledgement of such Is by
signaswe below.I dedare Vial I am the Dumas and I further dedare Tat I am en4Led to receive Ifs penny and kr do the mn as proposed.I have
obtained permission from al Ta necessary parties,mduding any easement holder or parties of merest regarding this pmjac The owner m legal
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