HomeMy WebLinkAboutBLD2024-00371 - BLD CD Environmental Health Review - 3/22/2024 MASON COUNTY PermkNa: ILI n��-�ao�41
COMMUNITY DEVELOPMENT RECEIVED
_ Permit Assistance OeMer,Building,Planning
BUILDING PERMIT APPLICATION 9 POY4
PROPERTY WNER IINF RMAT ON: CONTRACT OR HNF'OAMATTON: 615 W Alder Street
NAME: NAME 4ev'Ir n
MAR.HNO ADDRESS: f CTry: ,Q ADDRESS: rt STATE:
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STATE _ CTFY: ( NrAa�:s STATE: WA ZIP: 9YSP� m
os `�• - y 2—u d �5� PHONE: a-7 c-t,mmL:jC Zj-1 _7v Z.
EMAIL ;rii'.
EMAIL:
L&i REG M [[:,:.a)Cn.+V1 EXP.L(1/1
pA1M_ARY CO CT:' ( 1 WNER❑ CONTRACTORR@" TEROn. .-.14
NAME - Cm > 1c1� TTATfi ZIP 9�;yy;YH ITI O
MAILING ADORES I LG rr ,,_ �T)_Jyp 1 D Z
PHONE JCL" N2l-LLL% CELL /� r-
PARCEL HVFOAMAITON: n I n J ^r I �(jsY�I I WN1NG r' z
PARCF1NUhIDER(12 Digit N�vRbu) c-L •I OS`(' -bYJll__r=..i—
LEGAL)DESCRIPTION(Abb¢viMrd) CITY Ir ✓<- �SM
SITEADDRESS f-2 k '� I/ L1ILL r
DIRECITONSTOSITEADDRESS MAR 2
? 14
IS THE PROJECT WITHN'3W FI'OF SLOPE(s)GREATER THAN MX: YESO NO[{ 10
SNOW]AAD:' -
TSPROP,RTYWIT'LID1200FTOFTREFOLLD WNDG.O ) SEAsGNn RUNOFFD STREAM RECEIVED
SALTWATER❑ LAKE❑ RIVER/CREEK❑
TYPE OF WORK: NEW YJ ADDITION ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(;,, m fn^a+e°"°"^-`a*R")
ISUSE: PRDAARYN./ SEASONAL❑ NUMBER OF BEDROOMS Z NIIbIDER OF BATWROOMS
HEATED STRUCTURE? YES fR•a+ aw? ,YES(P.nL+)aI/Pwo❑ NO❑
DFSCRIBEWORK
I H
SQUARE FOOTAGE:il,, m
j'40 K.ft IIRDFLOOR \ . Rft BASEMEN �! RS.ft.
1STFLOOR
DITK_K k COVERID DECK sq.R STORAGE \ al.It O 0
i.-in \ sq
GARAGE ,.R AO..W E] DeMc n CARPORTAimclxd❑ I>ravhd
11A[1 LL CMffiL Hf�TOIME 2TnRMATION: e1 COPFFS OF THE FLOOR PLAN REQUIRED:
MAKE �• Iy:+ Hr^v MODELI e/ , F $C
A'I i YEAR
WIDTH2C Ar ' BEDROOMS Z BATHS 1 SERVJ.NUhIDER fG
'^"SNMENTAL HEALTH-
SEWAGF/SEWERSOURCE: SEPTIC* SEWER❑ I NEW❑ EXISTDLGR(
PLUMBINGINSTRUCTURE? YES19 NO❑ {()v,aaa.'hw�lakd Amer Adegm+aYFor:n
PER]METERIFOUNDATLON DRAINS PROPOSED? M❑ NCO RUSTINGSQ.FT.
PROPOSEDBEDROOMS
TOTALBEDROOMS e-
EXLSTDiGHEDROOMS�
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- ayrewre ceim..ieeeare mm iwn ma w.iar ana itumer eaaaremmiem enmeawn�nas orean emro��e.�ln o,�rerolrlepei
oouinm Fe:n¢san hom eX lro reussan aanrea intlueina'%Wanmemndeerorw wr'm nC.�w:Rr�.aa mnro.eoK aewinee i::w.nr
regsseeRN,e.2T.xMsiM IM.rrf a.l.Fmu isaewrz@naemts ellgbYaaa
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soya u HwuWman wM1 s wwenaMlw a i:a"R
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
IT LICATI ! F IN DAYS OF MORE MU.CAUSE THE APPLICATION TO BE EXPIRED.(MASON
OOUNTY COME I4.09A2)
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SgneWream
DEPARTMENTAL REMW APPROVED DATE DEN® DATE; TAGST`OTWCONDITLONS
BUILDING DEPARTMENT
PLANNINGDEPARTMENT
FIRE MARSHAL
PUBLICHEALTH
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