HomeMy WebLinkAboutBLD2024-00928 - BLD CD Environmental Health Review - 7/31/2024 Permk a8
MASON COUNTY No:_FZE—CEWED
COMMUNITY DEVELOPMENT JUL 3 0 2024
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BUILDING PERMIT APPLICATION ,.I„S*�t Z
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: `�I
NAME:MEEV oronwuraxsCITY: T
MAB.WG ADDRESS:WSTATF:: Wey CITY: ADDRESS:mSTATE.p rn
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NAME u°xrm EMAIL ✓#' EE+E�nE ` UU\� 7-
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PARCEL INFORMATION: p r
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LEGAL DBSCRD'1iON IAbbrc iuedITRAOWTLOTI BTACIflLB]EIPA08tl11 TALE DLSIRICT'E
SITEADDRESSSI x.nld>Exw,E ONE CITywM'Aw
DEU:CTTONS TO WE ADDRESS FROM MICA TONS MONTH,us
NRN RMLRON N X OOEX Cl]VE IAIF.VAR61 MUST
TS=MOHCTW1'1'®.V3COn OFSLOPE(SIGB£4TFATIFANM%: YESE) NOD VOWLOAD:�X
TSPROPTEREI LABE[] ROP'TDEFOT.LOR'INC ,C ,.AND[.
SALTWATER LAKE❑ R14TRYRF.ERD PONCE] WETLAND[] SEASONAL 0.UNOFF❑ 41'REAMD
TYPE OF WORK: NEW EI AD=ON Q ALTERATION[] RFYADIO Oi1RR 41
USEOFSTRUCTUREM, a,AMCm (XA,D.JAEAA 'E
ISUSE PADWtYD EEASONALQ NUMBEKOFBEDROOMS' NUMEAEROFBATHROOMSI
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DESCRIBE\VORK MEW-RR-MNM1F BTORYREBIOEHCENOVEUHIFATEDBTOPAOE
SQUARE FOOTAGE:,,A
ISTF R 400 M.A. 2NDFLOOR0 A, 3RDFLOOR0 it BASEMENT° p.G
DT%K 15 M.A. COYEREDDECE SO p.A. STORAGE 280 ML OTHER p.0.
GAPAOEe p.R LlrcaeED DeaemO CARPORT° ,RR A,A M 0 Dw El
MANUFACTURED HOME INFORMATION: -4 COPIES OF THE FIAOR PLAN REQIRRED-
MAKE MODEL YEAR LEN[TR
WH3TH BEDROOMS BATHS SFIWLNUbIDER
RMRpTONMENT.1—T HEALTH:
SEWAGE EWER SOURCE: SEPTIC 13 SEWER NFWEI E#SFWG❑
PLMIBINGW STNU[IURE' YESQ NO❑ lf+m,unaA cump'wed Waer.Lh4'aq'F'nnn
PFRB.ffIEFTOUNDATIONDRAW5P0.0Po5ED" WSJ[ NOD E%ISTINGSQ.FT.
=TW3 BEDROOMS° PROPOSED BEDROOMS TOTAL BEDROOMS'
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTPAR OF THIS
PERMIT APMJCATOX OF E DAYS OF MORE WILL CAUSE 14 THE APMILATN1H 10 BE EXPIRED.(MASON
/e CWNTY CMOE 140EA31
X IA�[�I 07/28I2024
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pFTAHT]ffMAL REVRWe•\ee APPROVED DATE DEN® DATE TAG.WNOWSWONUTCONS
BUDDWGDEPARTMENT
PLANNWG DEPARTMENT
FIREMARSHAL
PUBLIC HEALTH
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