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HomeMy WebLinkAboutBLD2024-00955 - BLD CD Environmental Health Review - 8/21/2024 ` MASON COUNTY Permit No:F. 2A-06ge, COMMUNITY DEVELOPMENT Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION F�PRIMARV R,,Tr-Y-IOWNE,LR INFORMATION: CONTRACTOR INFORMATION: W U�aI NAME: T80 G ADDRESSMAEANG ADDRESS: CRY: STATE:_Z1P: #P G-19e' 85A� PHONE: CELL: #2: EMAIL L&I RIG#RY CONTACT' OWNER CONTRACTOR OTN®lk ❑ EMAIL❑ ( //I��M/AD DRESSE_ ZIP r�4/M�4Ld-Ifsl CELL PARCELINFORMATION: PARCELNUMBER(12Digit Number) aa10dl-SG- _TONING LEGAL DESCRIPTION(AbbleviNW) ranmii 2sT FIREDISTRICT SITE ADDRESS 7&0 CWOW lr �,_t-cITY 4/u�1q'1 - ➢DlECT10NSTO ITE RESS AT ,m T.M; 'LhN_ Gf/J1 EI'� 4r;« ISTHEPROIECPWITIMN3W TOFSLOPE(S)GREATERTHAN M%: YES❑ NOErSNOWLOA0Ansf ISPROPERTYWFFHM200PTOFTREFOII.OWDiG: fa Ininnnv)M: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE.-(rturerrn,ceera cow.ereweMe,ce.) d5 r�! ISUSE: PRIMARY2✓SEASONAL❑ NUMBEROFBEDROOMS S NUMBEROFSATHRODMS-4— HEATED STRUCTURE? YES M. 13W Er YES ryan(+J9 ❑ NO❑ DESCRIBE WORK A! RORp RRI p�OTAGE:NwPa..e/ ISTFLOORIZZ re.R. 2NDFLO0R_p.R 3RDFLOOK p.R. BASEMENT_ It. _ DECK K.R. COoTREDDECK_ai STORAGE p.R. OTHER K& GARAGE_p.ft Afts Asd❑ Derecha❑ CARPORT p.R Awl [I Dsksda❑ MANUFACTURED HOME INFORMATION; ./COPIES OF T>>,HEFLOOR PLAN RE4QpUIRED's =MAKE � MODEL l�T1IPl1 YEAR�1/2P,./—LENGTH TH BEDROOMS_ BRIAL NUMBER- ENVIRONMENTAL HEALTH: / —/ SEWAGRSEWERSOURCE: SEPTIC fT SEWER❑ / NEW 81 EXISTING[I PLUMBING IN STRUCTURE? YES_MJ NO❑ /jym,attach xon,leled it Adegvpry£omr/ZgG PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOP,(/ MnINGSQFT.a EXLTTING BEDROOMS_ PROPOSED BEDROOMS 3 ✓ TOTALBEDROOMS OWXER aMr2xkEpea IIW aunnieGx alnmvlab Nrwmetion may reeuM in a Nop wwk waer or pemJt raweebn.Mhro'Maagementol awn ie Oy I fined Mbw. ne Nan oe Newnb eM Nrtlwraetlere Pal am oer b remiw M¢ret ilanlbWIM wrk as popaM. nM Wbinea prmimlon Iran tlI1M neMesery pNIN.intluOinp any essemaM MNera pales ollnleresl repaNinp M p2jeet TM rnmc w b�Y mpreeMlative,repreeeMB NY Pa inbma4M peoNae]fie esureb vN pmnls employem 01 Mason Goumy aaum b IM eMva EmenMa pegrlY aM awaorel.)ror re.ims ara Pwaatioc. Tnie permivapplkaeoa Mwmm null a.oia rcwpn or awno�n.a coa.wotioo'.oaaram.om wMP 1m mya o,ocoa.wtlioo wan Ie suapeMad mr a peam a+w aay.. PROOF OF CONTINUA OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTATrY OF THIS PERMIT APPLICAT F DAYS OF MORE WILL CAUSE THE APPLICATION TO Be EXPIRED.(MASON COUNTY CODE I<.DB.Q) X SAS/2� Sign O R(MDat be eI rod by Ne OWNERI pb DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TACS/NOTEWCONDITION6 BUDDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Y PUBLIC HEALTH r � ain � � E z m « ■ » | | , //� ems 2N ! ! | § 0\ - ■ ; \\ ! ! a | ( \ Ro : \\ : § ! > � ` o / § { ° K z I ?� / » 0 { ` � _0cr4 § ! ; a . ` �© �� � ��