HomeMy WebLinkAboutBLD2024-00962 - BLD CD Environmental Health Review - 8/7/2024 Permit No:
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT AUG 0 7 2624 Z
PAmlt MsltUnxe Cenw,,Builelog.Planning z
BUILDING PERMIT APPLICATION 615 W. Aldar Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: D
NAME:e! M& NA ffl l aowle Z
t„tWCEwe.9E Y00apoeeWwewM215 r—
CITY: ADDRESS: CITY: ADDRESS: 3
LTI'Y:�'' STATE:w" ZB:eA^p CITY:m`-A'Ee STATE:te'A ffi:—
PHONE NI:^gTmT'et PHONE: CELL Waxnsnt
PHONE#2 EMAIL �mt
EMAIL:�µ06O0Y L&I REG#. p lRT EXP._/_/_ D
PRDILIRY CONTACT: OWNER[] CDMRAcroR❑ OTESK0 r
NAME eA'eRoo`tot EMAIL
MMLINGADDRESS W'xPsuvmrr: CRY a'n'a STATE wA ➢Peem
PHONE CELL sW°Reffi
PARCEL INFORMATION: q&
PARCEL NUMBER(12 Digit NrpnlsQ) MINING
LEGAL DESCRIPTION(Mitt used) FIREDISTRICT—
SDEADDRESS ,g,EP.OA VlM m.
DEIECDONS TO SHE ADDRESS O°'s^ii°` "at'Wna'nl°n°na.^°a'Ma'°°s^°enlMmaa..+li a.t.n Nlma..rMan O
ern m e:a,tt.Na N..aiMep,o,E roe.a.wea Rneneletev.Woes Id rouBtsO
1S�PROIECTWIT®'13 nOFSLOPE(S)GREATERTDANIO%: YES[] NO(] SNOWLOAD:�f
LSPROPERTYR'STHDlMFTOFTHEFOLLOW G: (ck Ae qpy). �
SALTWATER❑ LAKE❑ RIVER/CREEKQ PONDS WETLAND[] SEASONALRUNOFF❑ S[REAMO
TYPE OF WORK: NEW O ADDITION❑ ALTERATION❑ REPAIR D oTwR n
U38OF STRUCTURE(xeuma,tn.�a.Gw.remw FMg.F2)I�eCx310E
ISUSE: PRIMARY[] SEASONALD NUMBER OF BEDROOMS=NUMBEROFBATHROOMS I
HEATEO STRUCNRER YESTF 8140 Q YES rywP/gmdv 0 NO❑
DESCRIBEWORESRgwOOF B69gEN4Y0.'NOExEeatMN.xgw.woaom wiu mtsmv®aoar.
SOUARE FOOTAGE:fx,goeq
ISTPLomt.. q.fi. 2NDFLOOR"- q.R 3RDFL0OR-A q.N. BASEMENT-A q.R
DECK-A q.ft. COVERED DECKxea q.& STORAGE. q.& OTIEN-t, q.R
GARAGE" q.R. Au.W[l DetacFd❑ CARPORT-A q.R Ap o Th, [3
MANUFACTURED HOME INFORMATION: aO COPIES OF THE FLOOR PLAN REQUIRED-
MAKE-A MODRL-A YEAR-A L@IGTH-`
WIDTH-A BEDROOMS- HATES-A SERIALNUMBER-A
ENVIRONMENTAL HEALTH,
SEWAGE EWERSOURCE: SEPHCB SEWERO / NEWT] EMSTNG❑
PLUMEWOwSTRUC'fIIRET YRS(] NO(] lfat.apad 000W/ Na ter Admrmay Form
PERDAi'IEWPOUNDATION DRAINS PROPOSED? YES❑ NO() EXISTING SQ.FT.o
EMSTWG REDRWNfS a PROPOSED BEDROOMS TOTAL BEDROOMS I
OWNER ooknoM gm Na10WmWbn N..lift, rt.,r—tt In a Bba Bv:k o:Eer o, ore n v9bi.�mtntWeurA Isb/
Blgnetum tx,bx.1L re Net I em Ou wnwa sq I NMer 0edam tM1 I an o,,ow to readve N®p ow to do es M*as poIX.M.I Nm
oaa�m,a wmrisaion Imm a1 uA neceaerr w�,InWarg enr eeoIXnen,ndaar IX wAat a bNrw:ag.erq oge oroleat Ste carer IXNga
regsenttuw.rePm0oo10 tM InlOmiallaipwgOJ'®a-�mleaM 9ran10 Bmpbyeet of Mamn GUMy B¢pe title a[oe tldWNa gcpNry
yM WUCWIO(BI IIXreriex eM iripe[,bR Ttlk pmY/a[Pllfdrlan M' e5 nu118 vuC Rvwh MeuINMYE muhutlbnYnM0.MnermE WWn 100
tler.W rcwnwucmn�x N easapaea mr a PIXloa e,m acre.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. NACTNKY OF THIS
T
PER RMCAHO F 1 WIL
L LL CAUSE HE APPLICATION TO BE EXPIRED.(MASON
COUNTY LODE 16.
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SIpm of OMM(Muat to pomp M me tmmem Deal
DEPARTMENTAL REVIEW APPROVED DATE DEN® DATE TAGSNOTES/CONDIIONS
BUILDING DEPARTMENT
PLANNING DEPARTb1EN'f
FETE MARSHAL
PUBLIC HEALTH
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