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HomeMy WebLinkAboutBLD2024-00963 - BLD CD Environmental Health Review - 8/13/2024 MASON COUNTY COMMUNITY SERVICES Perrmit PERMIT ASSISTANCE CENTER, .BUIDING.RANWW.p1IgLIC HEAL]N.FIREW RS 615 W.demseea,snMa,WAe �1 Y10 RC�� Puree snem,:ISeoHn-nerouesss.Fu((M3 Hn-mernwre (` Q] 2024 Bel% (36)}7241 8 .PI 3W;4F (3%)4BP3t60 AUG 1 BUILDING.PERMIT APPLICATION 615 W d et [PHON:E#]: OWNER INFORMATION =IRACTORINFORM TION NAME; '9 DRESS; MAR, DRESS OK SATE: ZIP: Ze crrY: UIJA STATE: ZIP.'NE EMARCELL:I&IXP_/ / � m T C OWNER❑ CONTRACTOR❑ 0 EMML 90 F�ASRN el4 PHONEMAILDIGA DRESS CITY Tyy115rN�,STATE ••ems --ef�� CELL PARCEL INFORMATION• s,r�.s .�Op m 0 PARCELNL/MBER(12 Digit Nomber) 'bZ��9Q��P ZONING F+tp"Zt y r z LEGALDESCb_j( (AbbraviRM) $FEE ADDRESS IGO j �JjV1q �'[' = TT'I DIRECTIONS TO SITE ADDRESS z DLS THE PROJECT RWWl WLTBWIMPFOF8LOLLOWRPATHR THAN 14X: YE40 NE� r M PRGPISRTY WITHIN RM FT OFTER FOLLOWING: ICAeBaegwwPB): SALTWATER❑ LAKE❑ RIVEN/CREEK❑ POND WETLAND❑ SEASONALRUNOFF0 STREAM❑ TYPE OF WORK. NEWX ADDITION[] ALyT�ERA.eT�ION❑ REPAIR❑ OTHER []_ USEOF STRUCTLIKE(Aew MD c�6 ue,DwBft MUSE: PRIMARY❑ SEASONAL[] R O NID®ER F EDAOOM3�_Nt1NiBER OF HA'IRROOMS_ HEATEDSTRUCTURE? YESlwmreaky❑ YES rymrllrEDR NQ❑ DESCRIBE WORK .I. a Gi SOUARE FOOT�p,i,ly„ym,�,w,my IST}100R_yq.fl 3NDFIAOR__NAL 3RDFLDOR_aq.8 BASEMENT __N.ft DECK_1q,ft COVERED DECK_aq.fl STORAGE BB.ft OnmL200,NftVIW� GARacH_sg.IL Almched❑ DEBMxd❑ CARPORT p.8m A W[] Dr'ft hd❑ MANLLFACTU RDHOM INFORMATInN; I`I, I gCOPIES OF THE FLOOR PLAN R6QIlIRED• MAKE MODEL YEAR LENGTH Wu)TH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGMEWMSOURCE: SEFTICIC SEWER❑ / NEW❑ E%ISTLNO'K PLUMBINGmsmu TDRE? YES❑ NOX /fXX-DiDbe-Vkhdil' rAdequxy FBW4 PERLMETEIVFOINDATTON DRAINS PROPOSED? YES❑ NOQ EXISTINGSQFF. ODSTWGBEDROOMS PAOPOSEDBEDROOMS faTOTALBEDROOMS OWNER afw.MMpaBwl tuMnlsebn PII�W>.v9a MbnnMbn mM,rul M e MW 1wM1 Atlmp WAIN-1 I styli y b/ elBneWre MW.I LLV&e N9I mfi NewnxenC NrIMrOeclere Nellem ID—MID rtcNve N6 pamXenE bEo tlrovgR mpicpmep_Id art MIaFM psnileabnM1pn al Pe mmmary peirvm.indutlinp eM ememenl�oNerapeNm NlMereMmOyyinOlNa ygat Tice ownerwle0g 64aWR1•)bfrtiigVe BfnE N90mn T114roie eccurele m�E Orerea emPM'ees of Abson Ctldrryewssbbe Mpm OesaiEM p�glery Gaya alltgnapucEpn wrk is wepenOM Me BwEecwnes nu116 wlC tlxoM we'AMrpeE conapucEm�Is iulcgPmerceE MNy119p PMM mIeo aeWdaye. 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 Q� COUNTY E14.08. f) IteDT— SIBOeWre 0 OWNE1t(Mutt be Rlantl MMe OWNEM OEPAHTMENTALREVHw APPROVED DATE'... DU41ED .DATE T,}OSR10 NDTTIQN3-.: BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH J \ | | ®- _� _ - - _ | ��.:» � y ( « - ----- ------- �� _� ! . . . : ® _- �� I � � � \ | � � � ■ § � � ¢ gig§ ) iI §6 0 2§! qO a < 20 > ■/� / - . © f - � § ` / STREET /SITE PLAN / UNION,WA \ �