HomeMy WebLinkAboutBLD2024-00924 - BLD CD Environmental Health Review - 8/2/2024 MASON COUNTY Perm tNo:w2n�z0
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Wilding,Planning - - JUL 3 O ZUC4
BUILDING PERMIT APPLICATION
PR �PenrrO J `'IMF enlfAnp,�v: - - CgNTRAcrOR PWORManOH. - /Alder Street
NAME: NAMK: "L
GADORESS: a 7• MAB,WG ADDRESS: m
C1T'Y: A 4 STATE: ZIP. CTTY: SPATE:
PHO #1NE Y S;. LR G = 4"jffl; PHONE: C$y: ? Z"
PHONE a,:. . .. EMAIL: O1C E
EMAU.: L&I REG#
PRH1fARY CO T: �OWNER4 CONTRACTOR ppT��yER m Q
NAME __CITY •F^•/�, n��✓/�69P7`� z
PHONE DRRSS CITY STATE_. � .y
CELL
PARCELTNFORMATION: = M
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PARCEL NUbIDBR(12 Digilw®bv)�(iY OC`S ZD�oay /—ZONDIG - z
LEGALDHSCR@'TION(A66nviandJLk CNe/m /9 40FEiEpLSTmcr D
SITE ADDRESS CO Na S}A/A f!wd-Drt 1z 0, Cfly FFvodS� I—
DIRECDONS TO SOB ADDRESS
ISTNRPRO]F•GTW1TBiN3Nn OFSLOPE(S)GREATERT 14%: YES[] NO SNOW LO
Lq PROPERTY WIT®g2a0 Ff OF THE POLWWDIG: (cwatawyP.M: -
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TYPE OF WOR NEW.E3 ADDITION❑ ALTERATIONp' REPAHtO GTUERn
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IS USE: PRIMARY SEASONALEr NUMBER OF SPUR NUMBPROFBATRI[OOM$�_
HEATEDSTRUCIUREP YES(nla BW[] yES(F.y,IgPrMp�}! NO❑
DEscgmewoazc ..P C
SMARR FOOTAGE t- L
1STFI.00R. =sq.fl 2ND FLOOR. N.A. 3RD FLOOR BASEMENT 4 R.;
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DICK aq.fl COVEREDDECI( R.R. STORAGE eq.@, OTFIER_q 8.
40 cARACE. �aq.fl ANo� o Daaa dFlrcARPGRT - ay.R.Dw<naap:Da�laa❑
A ON: •M COPIES OF THE FLOOR PLAN REQURIEDa
MODEL LENGTH
BEDROOMS BATH$. SSg1AI.NUMBER
ENVIRONMENTAL HEALTH•.
SEWAGEISEWFRSOURCE: ,ll
�SE.P� CJ;K SE (3 -1 NEW❑ WOST-v2r
PLUMSMOMMUCTURE4 O. NO❑ Hl'er.armArnmple�WmeMrryvryPoml
PERAfeTRRA+OUNDATION DRAINS PROPOSEDY YESp N99- ERISTINGS(i.PT.
MSMOBEDROOMS_ PROPOSEDBEDROOMS TOTAL BEDROOMS
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arse Nnemga)brmevaa mmyafbn. . fi.d1w da neemnwM6Md Xxwkareullweved mretrue5onam[evnma¢N WXIN 180
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTWM OF THIS
PE
ITAPPLICATIONOFt DAYS OF MORE 1-CAUSE THE APPLICATION TO BE ERPIRED.(MASON
COUNTY CODE 14.08A2)
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DEPARTMENT AL REVIEW APPROVED DATE DENIED DATE TAGSMOTEECOHDTITONB
ERH DI:G DEPARTMENT
PLANNINGDEPARTMENT
THUS MARSHAL
PUBLICBEALTH
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