HomeMy WebLinkAboutBLD2024-00405 - BLD CD Environmental Health Review - 4/1/2024 % MASON COUNTY COMMUNITY SERVICES Permit NR• •� CGl�Ol/
j PERMITASSISTANCECENTER:
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915W.AlduS a.shtl n.WA9
.�)Q7�';M �" °a` atne 28 2o2aENVIRONMENTAL
BUILDING PERMIT APPLICAM W. Alder Street HEALTH
PROPERTY OWNER INFORMATION: CONTRACTORINFORMATION:
NAME:Per Ch%. NAME: BUnca.m�mo„np
MAUAVGADDRESS:Ie NEIe PI MALINGAUDRENS:13o SE\ T*AwO
CITY:ISIuam STAMWA ap:NXPI CTIy:SINme STATE:WA ZIP:N%4
PHONE#I:0 Is PHONE:3m31s21m c,L. mo13a133 y0
PHONB#2: EMAE mndwbu MPreM
EMAM:an'a11o1230hon . IAI REG 02
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PRIMARY CONTACT: OWNER❑ coNrRACroRs OTHER❑ m O
NAME ft w EM UL-.A awPn —
MAIUNGADDRESSImSEMaWTaSMm CITY w. STATE 21 we
PHONE rm^aaw CEU.asnn+ep
PARCELINFORMATION:
PARCELNUMHER(12134RN® )31911m2 2ONTNGRR5
),BOALp1yS;dmrtD1.J(Ayylpypidf 1(MIILCHE POIM ftEPIAT LOT:12 pD(B D]Nj'RjC[I
STI'EADDRESSM SE We3ot Cow Roetl CTTYSNNYin
DIRECTIONS TO SHBADDRESS
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TS TBE PRODiCf WIT�NI)m FT OP SLOPE(S)GREATERTHAN 119G: YES[I NOE] SN)WLOADL9--,a
ISPROPTER(3 T1HUi o FTOFTBEFOLLOWIND (GlII=XND
SALTWATBR� LASE❑ RIYF.R/CRDEE❑ POND❑ WEH.AND❑ 58ASONAL RUNOFF❑ STRRAMn
TYPEOFWORK: NEW❑ ALIomoN❑ ALTERATION❑ REPAIR[] oTEERn
USEOPSIRTICNRE(ruua,rAG Ca.v°am/nutw RUMN,u
LOUSE: PRIMARYF] SEASONAL❑ NUMBEROFBWRWMS3 NUMBEROF BAT3BTOOMS3
HEATED STRUC1TDiE't YES~ [] NO❑
DESCRIBEWOMCC ^^A'�0I8IeM Bouwwn mA'lIYN00wnweal nl
SOUARE FOOTAGE:vwdM
IST FLOORMT2 q.ft 2NDFLOORWA p.& 3RD FLOOR WA K.B. BASEMENT1mn sq.&
DECK NA 3q.& COYERROURCR22T K.& STORAGE WA N.& UTIDIRWA eq.&
GARA N.ft AlmrhN n D°r Ad❑ CARPORT WA '&dm [3 tM []
MANUFACTURED HOME INFORMATION: 'd COPIES OF THE FLOOR PLAN REQUIRED'
MARE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERlU,N)&ER
ENVIRONNUMAL REALT'H:
SEWAG EWFRSOURCE: SEPITCO SEWER❑ / NEW❑ EXISTINGO
PLU WGINSTRUCTURE2 YESB NO❑ Ijym,°woAwelPl�d NmrAdgwryF°rm
Y-��. ` NOn ]OUSTING SQ.FT.WA
EXISTING BEDROOMS WA PROPOSEDBEDROOtdS 3 TOTALBEDROOMS 3
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repres°nteMe,,ymY Nalb Humb°n p�wgm a a¢urerc anG 9,an6 emWYce+d Mean fp.,a{y eae55 btic amre Eaolntl Ptgsly
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mn w n m,aw w�,w¢e..p.laea mr a perm a 1w says.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPUCAION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.IMABON
6 COUNTY CODE 14.08.42)
K d S 6 March 22,2024
*OWNER) �+
DEPARTMEKTALREYdW APPROPED DATE I DEN® DATE TAGIRNOTESCOMI TIONS
BUDDING DEPARTLBM'
PLANNING DEPAR'IME3'T
PDIEMARBHAL
PUBLIC HEALTHJim
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