HomeMy WebLinkAboutBLD2024-00774 - BLD CD Environmental Health Review - 7/2/2024 Permit No�.�d.L(Aryrol]7
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
PermhAsslsbntt Outten BUIICIng,Planniiq JUN 27 2024
BUILDING PERMIT APPLICATI
PROPR�LTY OR'NER TNFORMATION: CONTRACTOR RMATION: O
NAME: 1 hcwtaS JiS NAME. W LInG ooAeS
MAQ.WGpp]BESS: IL q e C MAH.INGADDRHSS: t0 O
Crry: • be re STATE: ZIP:g�_ CITY: V STATR:_WA ZB: QT373 O ,c
PHONB#1: 1 PHONE: CELL:
PHONE#2: \ O MAIL: o n !, ur+R
arx�t m
coNTA owrERg D°NrnAe°AOS+ePl .nt�rne�0�0 nw ( . o+t. Z
NAME ODy STATT ZIP G
MAILING ADDR655 -
PHONE
PARCEL DWORMATION_: T1go% — m O
PAACELNIIb> (12DigitN.m) 3OO—O()oIO ZONNG RRS > Z
LEGALDPSCRUTION(Abm�,.�a) FIRE HIS! .-.I
SITS ADDRESS G1Oo 5E M' -r CITY �IrS[1�un =D1RECr1GNS TO SITHADDRESS JOI to Zz
IS TBE PROTECT WI'TIDN30n PT OF SLOPE(s)CRSATERTEAN lOY.: YESE) NOK SNOWLOAD:
IS PROPERTY WTIHDi zoo Ff OF]'E6 PoI.LA�G:O°W2'C ANDD MASONALRUNOFF❑ STREAM❑
SALTWATER❑ LEER❑ RWMACS 0
TYPE OF WORK: NM-x ADDITION❑ ALTTESATION❑ REPAIR❑ OTHER El
UEBOFSTRUCLURE(r laww.Ovwe.�N4Rc) ReSielenEe
MUM: PRRI Yjff SEASONAL❑ NUMBBR OPBPo.�R/OO_ NUAIBEROPDATHROOMS3—
HEATEDSTAUCfURE1 YEs(mM•sW'l I ymm(F—7lvle Wf7,FNOU
Nr(• k IT+ Cfq tJl5p4t.0
DESCRIBE WORK
SOHARx FOOTAGH: .O
1ST PLOORf{Q}eq.ft 2NDPLOOA__aq.H. 3RDFLOOR KIN' HASEFffii'P_N.ft
DHCKq.ft COVERED DECK I{Q eq.6 SI'ORAGB � a 0 Duachn!❑
GARAGE A7D K.ft A—J-d$1 De he 11 CARPORT W.ff Aa
^^'ACTORED HOME INFORMATION: .O COPIES OF THE FLOORPLAN REQUDUM'
MAKE MODEL YEAR LENGTR
WIDTH BEDROOMS BATHS SERW.NUMBER
ENUAQNMENTAL LLFAL TH-
SBWAGErSEWeASOUACB: SE y SEWER❑ / NEW El EXISTING❑
PLUMBINGINS'iRUCr[IIHP YES® NOD rjyev,atlacAmry+lefed Wal®Adaqua yAotm
pERDAg[HPIPOUNDATION DRAINS PROPOS®T YES NOO EXISTING SQ.FT.
EXISTING BHDAODMS PROPoS®BEDROOMS 3 TDTALHEDROOM4�
OWSTNOREORGO ¢udnb+M olliu¢unb OPOSDmer rerun In.s1oV wkvartvP%mmmomlkrt AamwaM�nwa^1VMYnr
¢an%m�polw.l a.cmw niw I wn mn�%,a°a I runners dare mw I%m a°w%a m i%renavd¢Peen wm m aom..ra�µes pgysae.I nn+
otmloee Paemlu'enhwn m w oam%%%n Pa.u�.l�aeme a�v ea%%m%m n°la%r°,PaA%%almw.nrewmme ml%Ppl%w H¢vm.rwlpal
�¢P�%nmtly rp�y�sygyylnym,.lmn Pm°Ie%a Is eccv�e�e%na ganm emvloyees m Mesan ewnryewatis m Ins erore ee%enem rmPeM
erp sauvWre(¢I(w reiex eM Hpxlbn.Thk C%miNepgtstlon�cwnas null6 rdtl nvoMwaWMZM wWruc4u^Ls Mwmme^we'Mllds tm
erys w XwnAnclin wkb%usFa��aM a P%Ma of 1BO eeW.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTWY OF THIS
PERMIT APPLIC ON OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
// COUNTY CODE 1<.08A )
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�S4naWred OWNER IM atb •M hvM OWNEm DaM
D&PARTMENTAL RRVIEW APPROVED DATE DlI DATE TAGS2NOTIIwCGNDmONE
BURRING DEPARTMENT
PLANNINGDEPARTMENP
FIRE MARSHAL L
PUBLIC HEALTH
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