HomeMy WebLinkAboutBLD2024-00771 - BLD CD Environmental Health Review - 6/27/2024 z
MASON COUNTY Permit No:13 A 094-00 1 1 1
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Building,Planning JUN 2 7 M4
BUILDING PERMIT APPLICATION 615 W. Alder Skeet
PROPERTYOWNIER INFORMATION: CONTRACTOR INFORMATION: m
NAIVE: Vf YI tUfd Cnrnsl.0 I I ( NAME:Qima !e=Exp
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MAE GADDRESS: } sit, MAILING ADDRES
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PHONEel CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit N�)2'1/1n11-St-OI013 ONING LWTTt�`'� ✓� /2_
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B MOPERTYWFFRIN20EFTOFTHEFOLLOWINC: rcwmAma
SALTWATER❑ LAKE❑ KIVEXPCREEK❑ POND[] WETLAND❑ SEASONALRUNOFF❑ STREAMp
TYPE OF WORK: NEW-- ADDITION❑ ALTERATION'FP REPAIRp OTHERR_❑
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DESCIUMEWORKTn 121I rn4A IVYIPL IVCrA TM O
SOIARE FOOTAGE:�
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MANO<F�ACr1I1RED HOME INFORMATION: •O COPIES OFTHE FLOOR PLAN REQ(U'IREW
MAKE YIQPT102Wd MODELaLL4�ii StV1_YEARZQ L:i_LENGTH- I{91_I _
WIDTH_2y'' BEDROOMS_ BATHS SERLU.NUMBER �
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PLUM INGWSMUCIUM Yux NOp )f}a vrradr mmpinM WabMegmcy Fom
PERIMErER/FOUNDATION DRAINS PROPOSED? YESp Noir EMWINGSQ.".
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PROOF OF COMMUATION OF WORK ON THIS PERM"IS BY MEANS OF INSPECTION. MACTNITY OFTMS
PERYR APPLN%AMN OF TBD DAYS OF MORE WIl CAUSE THE APPLICADO�TO BE o(PIRED.(imASON
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DEpARTMFMAL REVIEW APPROVED DATE DEN® DATE TAG&VOTESKONDFDONS
DUBDINGDEPARTMPNT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH L
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