HomeMy WebLinkAboutBLD2024-00875 - BLD CD Environmental Health Review - 7/24/2024 Pcrmit No:y( -p`^-' 1"
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT JUL 2 2 2024 Z
Permit msistantt untec eul.ln..Nannln.
BUILDING PERMIT APPLICATION 615 W.Alder Skeet = ;-
PROPERTY 0 RMATTON• CoNnACTOR INFORMATION: Z
A NAME: .s Q— Lw- D� m
NAME: MAILING ADDRESS:
MAM.NG ADDRESS: .O. CRY: STATE:--- Z
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CRY: Al STATE:WA ZIP: �4 PHONE: CELL:
PRON.#— PHONE' �I
PHONE#2: -FO .Yy.y L&I REG# EXP.
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OWNER CONTRACTOR❑ �� Al iL 4+iwt_
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NAME CITY
MAILINGADOBESS 4 CELL
PHONE �S
PARCEL INFORBL T'L-WM: ZONING K�CS �FCT�
PARCEL NUMBER(12 Digit Nvmb ') -i—I 1LLS'N�T-OZ FlREDISTRICf fL'H+J'� ^
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LEGAL DESCRIP11ON(AbMcOmd)
SITE ADDRESS �/\E' T 3 DIRECTIONS
ADDRE55 ��//�� �
t' NO❑ MOW LOAD.*yasr
IS THE PROTECT WITHIN 300 FT OF SLOPE(S)GREATER THAN I/%. YPS STREAM❑
13 PROPERTY WITHIN NM FT OPTHE FOLIA ETLAND O SEASONAL RUNOFF❑
SALTWATER LAKE❑ RIVERICREEK❑ POND[] rI
TYPE OF WORK_ NEW ADDITION❑
ALTERATION❑ REPABt❑ 01T1E1t
C4nniYv1.�EB ) QE�r:d- NUMBEROF BATHROOMS
USEOF STRUCTUREr SEAS NAL NIMEROFBEDROOMSy
1SUSE: PRDMRY L1J SEASONAL❑
�/ YES,,[,]A&d,)❑ NO❑
HEATED STRUCTURET YES fBAuk BWy D]
➢ESCRBE WORK
SQUARE POOTAGE:rP+eraao
in FLOOR 259D .ft. 2NDFLOORi7-}j W�B. 3RD FLOOR__ai E BASEMENT-,.ft.sq.ft.
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DECK_a�u, R. COVEREDrDECK)Fp—sq.R. CARPORT-�.R ,UsvaAed❑ pBmalsad❑
GARAGE NY4• s9.R As/ hedru Datached❑
a4 COPIES OF THE FLOOR PLAN REQUIRED'
p AN FACT RED HOME INFORMATION: LENGTH
MODEL____--YEAR
MAKE— _ RATHS SSUALNUMBER�
WBTTH BEDROOMS
1N JIItOP7MENTAL HEALTH: / I�(y EXISTING❑
SEWAGEISEWER SOURCE: SEPTICSJVIQ SEWER❑ sl� n�/ . edWwAdWwary Pvrm
PLUMBING IN STRUCTURE'+ YES BB �aW sas E aSTING SQ FL
PERIMETER/FOUNDATION DRAINS PROPOPOS YESM H NOS TOTAL BEDROOMS
EXISTING BEDROOMS PROPoSED BEDROOMS
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T IS BY
PROOF O APPLICATION OF 1 F IN DAYS OF MORE WILL CAUSE MTHENAPPLICATION TO BE EXPIRS OF INSPECTION. IED.(MASON
DWNTY CODE 14.08.42)
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DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TACSINOTESICONDITIONS
BUIWING DEPARTMENT
PLANNING DEPARTMENT
FIREMABSHAL tS L >1AIi
PUBLICHEALTH
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