HomeMy WebLinkAboutBLD2024-00813 - BLD CD Environmental Health Review - 7/9/2024 MASON COUNTY COMMUNITY SERVICES PermRN8:8u&4- a1�
PERMWASSISTANCE CENTER: RECE� TG'I✓l_ '
.BUILDING.PIANNIND.PI LICHE TH•FIREMMSML
615 W.Atler 9treel SM1NIm.WA 9MM
Pon.tannin,(]Gtitl2 Bl W2-Fi.(M)aTl-.Mwm JUL -9 2024
Petlek:(3W)Y]b -Phare Elmo:(3W)4 5189 L
`�V\NN OPERTYOWNER BUILDING INFORMAT[ON: PERMICONTRACI'OItONORMATION: street
NAME:Li9LIRY NOW 1 tj/ NAME:�R1�_Affiri-, aQ• /FlSG/ TIT
MAU.ING ADDRESS ' KU HARING—ADD SS:R U �I.V�L eS n � (i1
CRY:170UI.SBD STATE:1. A ZU': C1TY. STATE: JR ZIP:
37
EMA G
PHONE#Isn4 RLA - SL4t PHO CELL:
PHONE#2: �nr_ 32D - 431� U.: PO Pl
EMAIL:LLLARMOMGS LLL fl DUTL UOE•ee Li REG
PRIMARY 901 ACT: _OWNER CONTRACTOR❑ MRS
NAME 6MM 2 A M-'j LLLQOITIgJ1}
MAB.ING ADDR'SS N CrTY STATB,AL�ZIP
PHONE. • ST/-4. .C�/-_CAI CRLL SAL 3'{G �/9?D
PARCEL INFORMATION:
PARCELNUMBER(l2ap'Number)3,202/ (L S
LEGALDESCROTION(Abbrevia¢d)fNnQ/LRdST {ybiii OtKIc_�0 P}D'Lyp DISTRICT
SREADDRRRs Il t AE soup p ✓i G_IJ p n cl'[Y a BI c�7AJ
DBU=ONSTOSITEADDRESSNBJV I N TD AAiYT TO 1AIEZ47VIZai L.D
M ETD � NiL LL'Q ei4r VIL v0 at& .0 b"A4,S J iaArO V fe0 All Te
MS PROIECTWPT®H3N0 OFSWPE(S)GREATERTHANI4%: YES[] NO®.
ISPROPE3[TYWFT®V20OFTOFTREP0LL0WBiG: (cwaadlwegp):
SALTWATER❑ LAKE❑ RIYF.WCREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM
TYPE OF WORK: NEWR ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n
USE OF STRUCTURE(xuaxc caa2.,OmwadaleNa mJ � 1
ISUSE: PRB.fARYj& SEASONAL[] NUMBER OF BEDRDOi NUMBER OF BATHROOMS
HEATED STRUCTURE? YES IWddeA ® YES ryWa]dRWI❑ NO❑
A'DRSCRIBEWORKEW M(LI G //0"'IF D.'U .,f'fl
SOUARE FOOTAGE:on,,,se♦nati
ISTFLO0R&2!L,.R. ZNDFLOOR_ai 3RD FLOOR ea.R BASEMENF_si
DECK_ii COVEREDDEIX ii STORAGE ea.R OTHER_pR
GARAGE K,I Aaaahed❑ DAaic] CARPORT aq.R AttarAM❑ Damsemi
MANUFACTURED HOME INFORMATION: e4 COPIES OF THE FLOORPLAN REQUIRED•
• MAKE CLA4TD1) SG^'1 PO MODELFCGGE IIIR� YEAR Da LENGTH_
WmTH_a_77_BEDROOMS RATES ..4 SEMAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGVSEWERSOURCB: SEPTIC& SEWER❑ / NEW EXISTING❑
PLUMSINGINSTRUCR)RE YES® NO[] Ijyea,attach meplerd Wase,Adegsacy Feats;
PEREMETEWFOUNDATION DRAINS PROPOSED? YES❑ NOM EXISTINGSQ.FT.
EXISTING BEDROOMS 3 PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER ecMnewle]peetlW wdnMNm dlnmrtle MlmnerYn mry muttMa N[q xch wEarmpemN.yion.MkmMetlpemem WautlrkbJ
Obtaine
algnened p—se Evlxe tlMe names,, iI NNKKMtlYeMlanxea,ors wive Hey milwM totlo Neho,e wympWep.lhaw
himmenperm,hashhem aEVienevrseary in Pre is
i aestayxand una M1dtlampaNaINsoncssya a mental nation,men
pmlect TheovmerorIegN
reesthimery( roman,MNNe Ineseen. pw1Ee0kuarale and pnnb wnpOyBaeNMason Caunly attessbMa above CescM1CaE pmperry
anV abucWre(a IorraNewanE Nepection. THa yrnNeMkatlon Wwmu null8 volE V waM or auNmzatl cmewction Is not cwnmenretl WNIn 180
tloya orVwnsWNm xuAkeuapw]eE MeperIM W180 Eeys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERM UCATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
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BIBnmostr OWNERNuNbeelaaeclbNMe OWNER) DeM
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TALRRVKW APPROVED DATE DENIED DATE TAGENOTESCONDTRONS
PARTMENTEPARTMENTALLamTH �ItTRY IL' woi
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