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HomeMy WebLinkAboutBLD2024-00323 - BLD CD Environmental Health Review - 4/12/2024 Permi[No:-& p, p z3 MASON COUNTY RECEIV M� COMMUNITY DEVELOPMENT iJ-- PanalanaalAtance� tecetlndm¢,mammne HAR 112024 m BUILDING PERMIT APPLICATION 615 W. Al PROPERTY OWNER INFORMATION: CONTRACTOR UIFORMATION: NAME: d�N b' Ur d' �J�u' NAME: m Q MAILING SS: 9A MAII.INGADDRE53: D Z CITY: STATE: ZZD':: CITY: STATE:_ PHONE#l: Z PHONE: CELL.- PHONE#2: Zile •— EMAIL: m EMAH.: 5 L I REG# EXP._/ �� Z PRIMAR C NTA WNIiR NrRACTORQ OTHERD NAME EMAIL MAIWNC CITY SPATE ZIP PHONE CELL PARCEL INFORMATION: nnn Ida PARCELNUMBFR(12Dign Nlanba) 1z 106 Sz—o�6a ZONINO IDB�IFL— _ LEGALDESCRUTEN(AHmn,oadad) p I DISTRICT SITRADDRESS LJDO 9• AIUL crfY Wh• DIRECTIONS ro SITE ADDRESS "T fe D K 18 TTD:PROJECT WIT®YJW Pf OP SIAPE(S)GRIWTRRT'RAN 14%: YFSp mo SNOW LOAD:�iLpa( 18 PROPERTY WI'I'�1200 FC OP TI�FOLLOWING: :cS.akdltla gglyJ: 'y SALTWATER®. LAKEO RIVER/CREEK❑ ]tOND❑ WETLAND❑ SEASONALRUNOFF❑ STREAMp TYPE OF WORK: NEW❑ ADDITION...IOa ALTERATION❑ RERUR❑ OT3EiR p USE OF STRUCNRE(Rad�.aa.ay.,c dBMa bYJ ��111C� IS USE: PRHIARYp SEASONAL NUMBER OFBIDROOMS IBER OFRATHRDOMS Z HHATEDSTRUCTU YES/mw,w�l/MY— YES /MAMWp NO DESCIUBEWORR d I'rl� 6 sFR SQUARE FOOTAGE:(raapaeep 15T FLOO��R/�1 �q.ft 2ND FLOOR q.ft 3RD PLOORq.8 BASEMENi_�q.8 DECKS q.ft COVERED DECK q.ft STORAGE q.8 OTFffit N.ft GARAGE q.R ARahaA❑ Demdhef CARPORT q.E. ARophmp Dewchedp MANUFACTURED HOME INFORMATION: L I 4 COPIES OF THE FLOOR PLAN REQUIRED' MAKE MOD YEAR LENGTH W[DTH RED ROO BATHS SERIALNUTABHR RNVIRONAIENTAL HEALTH, SEWAGWSEWERSOURCE: SEPTI SEWER❑ / NEW E)OSTDIGu PLUMBBJG IN STRUCTURE: YBS NO❑ If a,omxh the lead lPahrAdquayF P TERIPOUNDAGONDRAW PROPOSEDY YES[] NQM EXISTDIG SQ.FT. EXISTDJGBIDROOBR ea PROPOSID BIDROOMS TOTALBIDROOMS OWRER aTmtkEpn V"=W lnaavMe vllamYlm net,raufl at a GW'edl:REfuPamt ian Admeoledgetneilt of halt Is by agvNe Water I MtlanaM I an Me avmer and I N:daw eetla,M I an eadded to roxitte Nis pe:mlr and to M,the wR m p©med,I lea adsnetl p:misim Ran i IM neceasmy pedles.IntluSnO em'emnna:tnotler a peNas d In1ereA rapamin8 Nls P IaC_ ineaasalgel :eyesanlatiw,regesaes nW Meimo:mdan poNeee is amble and prams a ,40YWS of NW*W cwmn awns to Me aMw dwalned teat" eMaWmrelal noiewandinSC , Tis penniVepPllratim lmnnea nmla avd nxwkVaWnw¢M q+upuvbM is na amnaud` MINE tm Ears a na,nsmmon wax is aasPa:aaa to a wdm d tao dare. PROOF OF CONTINUATION OF WO AK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS Id APPLICATION OF I BqZrVS OF MORE WILL CAUSE THE APPL)CATICP TO BE EXPIRED.(MASON r CODE 14.01IA2)_;� X Signaldre of ER Dm DEPARTMENTAL REYR:W APPROVED i DATE I DEN® I DATE TAGSTi01RS/CONDMONS BU DWGDEPARThmt.T' PLANNINGDEPARTMENT FRtE MARSHAL PUBLIC HEALTH a___ | 2 { % \ \ \ iL zz - -� 0 | ; ALLM WA. | '