HomeMy WebLinkAboutBLD2024-00769 - BLD Application - 6/26/2024 MASON COUNTY PemitNo: V�D
COMMUNITY DEVELOPMENT ECEI JUN 2 6 2024
PermR Assistance Center.Building,Planning
BUILDING PERMIT APPLICATION W. AIdHr SYHBt rn
T ' W RO R
TION• CONTRACTOR FORMATION- C
NAME:n�PI' WR I4 ISCIA NAME:
MAR-M ADDRESA SAX-Z� SING ADDRESS:
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LEGAL DESCRIPTION(Abbrev'`atd) FEE DISTRICT
SITE ADDRESS crtv1A • i'I
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IMARY E SEASONAL❑ / NUMEEROF BEDROOMS NUMBER OF BATHROOMS
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• NITFACTIMED HOME INFORMATION: •4 COPM OF THE FLOOR PLAN REQUIITFD'
MAgE MODFL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH,
SEWAGESEWER SOURCE: SEPTic.../ SEWER❑ / NEW Td BXInnuoEl
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
iVl(A/aAw'F'r COUNTY CODE 1L00,62) 61Z41Z O✓�
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DEPARIIIENTAL REVIEW APPROVED DATE DENIED DATE TAGSMOTESI.'ONDIFIONS
BURDDIODEPARTNENT
PLANNING DEPARTMENT
£IRE MARSHAL
PUBLIC HEALTH 1
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