HomeMy WebLinkAboutBLD92-01239 Cancelled Deck and Garage - BLD Permit / Conditions - 6/21/1993 MASON COU=.
BUILDING PERIv1IT APPLICATION 16 �1-q ZAY,
PLEASE PRINT
to; Owner ✓ // K'�C N ` � C" p i
Own__ T ���L/rU � _hcne#(f/,� �1
Site Address �V � 51 itleul�i 2K o
City �) A ��'. --St 0 7✓4
Directions to Job Site /l�- � �� �'r�,�, ���; ����✓ ��
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y Owner Mailing Address kcl
1qv City - f f< i�� St Lci,4 Zip �IBS��
� � Lien/Title Holder
Address
City St Zip
�2) Contractor Names tJC/Z Contractor Reg#
Address
Expiration date
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic?_ Public Water Supply= Well
(If residential, proof of potable water may be required)
*Parcel Nc4a5220 -(i
Legal Description r- - J(,,,9F e i/z. f �A l - t� Val
Building Square Footage: (existing/proposed)
v 1st Fl / 2nd Fl / 3rd F1_ / Loft_ /
Basement / Deck #bedrooms _ #bathrocros____L____
Garage -C4/ Carport / (Circle: Attached or Detached?)
Other sq ft /
� 1
#6 Use of buildin 0 k l ,1 0 61 jZ Describe work
#7 Type of Job: New Add
Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
I #8
MQBIL.. HOI�' (7RMATTnN
Model Year Make Model
Length Width Serial No.
nBed_-ccros #Bat:--oems Type of Hea-
(n9 Any water on or adj cent tc proper-v: sa_cwa-er :ake
r�ver pcn:_ ___� an'' seasonal-
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BUILDING PERMIT # It'�
DATE l Q
Planner Area �6dDtlY!
CHECKLIST FOR PROPOSED CONSTRUCTION
Yes No
[�] [ ] Within 200 FT of designated shoreline, wetland, or
associated wetland
P65OEMP
bl10
Where? () S �1 1 2 3 C)
[ ] [/I Proposed construction on/over/in wetland
[ ] [ Proposed construction within floodplain
[ l Eagle nest
State road access needed
[ l [ Commercial Development (parking standards, sign
ordinance, public works review, other applicable
agencies)
Mobile Home or RV Park
Exempt from building permit application
Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800)
[ ] [ ] Meets all requirements (which sections) of SMP does
proposed con,,s1,t�ruction pertain to?)
[ ] [ ] Variance or Conditional Use Permit required
[ ] [ ] Exempt from Shoreline Substantial Development Permit
process (Wac 173-14-040)
[ ] [ ] Exempt from Substantial Development, but within Army
Corp. jurisdiction (WAC 173-14-115)
[ ] [ ] Address needed
[ ] [ ] Directions needed