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HomeMy WebLinkAboutBLD2024-00345 - BLD CD Environmental Health Review - 4/2/2024 MASON COUNTY P-Bra NBJ& --a0345 COMMUNITY DEVELOPMENT RECEIVED m Permit Assistance Center,Building,Planning MAR 132024 z BUILDING PERMIT APPLICATION gig W. F Ske O P ROPERTY RMA N: CpNTRACTORINFORM4TION• I D Z : WU P NAME: M O bi IC I"�T'sC. MCg(r L 3 NGADrD-`REM [ MAII.ING ADDRESS: _ M4a" STA ZIP: CITY: ST TE: Z@: #2: �C'; PPHO13M�P7E��o0 rs: 3�2-{9 y .: 'n' IL IF ACT: OWNRE LMAIL al¢L� PHONEC�D�� CITY -r STATEy-A uP CELL PARCEL INFORMATION: p u PARCSLNUNIBER(12 DIgnN®hm) .�ZDZ 17.I000 VD TpNINGvFIRE DISTRICTSIZE ADORBSCITY<Ie PI 4O¢'LDIltELTIONS TO SITE DRE39 ..,V Z }r., . n¢¢ '.A. . i—TT I{EYMTREPROJECTWIT� MFTOFSLOPE(S)GREATRRTHA 14%: YES[] NO DI SNOW LOAD:LMPROPERTYWI'FMNQFFOFTHEFOLLOWING: yk.t.nn,r,µ y/. 7' CI SALTWATER❑ LAKE❑ RrVER/CREEK❑ POND❑ WETLAND[] SEASONAL RUNOFF❑ STREA TYPE OF WORK; Nawal ADDITION[] ALTERATION[I RHPAIR[] OTHER fl USE OF STRUCTURE(&�cmnge,coma Bit N,) RQI I�gu4L IS USE: PRUMARY$� SEASONAL NUMBER OF BEDROOMS_._ NUMBER OF RATRROOMSJ_ HEATED STRUCIURET YES(RIweN,y/pf YHS /�A'W❑ NO[] DESCRIBE woes &a&, t..y-A l I l 1 1 �- SOUARE FOOTAGR: ISTFLOOR-eq(,,#q.ft 2NDFLOOR_p,R 3RDFLOOR DECK N.R BASEMENr_eg.R DECK—K.A.ft COVBR®DHCK_p.R STORAGE I.R OTHER_%ft GARAOE_aq.ft dagched❑ ne haa❑ cAReoxr ag.R Aawmp Dam nmp MANUFACTURED HOME INFORMATION: •4 COPEZS OF THE FLOOR PLAN MUMED• MAKE RPu1 �:K MODEL Kj fib YLRK YEAR 0j LENGTH-Vy WIpTH� BEDR00MS Z EATHS�_sERIAL NUNIBER�nzq� ENVHLONMENTAL HEALTH SBWAOMEWHRSOIIRCE: SEPTICXL SEWER / NEW[] E3MMGJ( PLUMBINOINSIRUCTUREI YESQ NO Ilya,affachr IehM WmoA .m dequuy Ao PERNMETELTOUNDATION DRADIS'(PR�OPOSED9 YES❑ NO TOTAL EEDROOMS._ . _ MaSTINO BEDROOMS PROPOSEDBEDROOMS 2 ¢OWNER m?rwbrbq pd andsubmb¢bn NIno—no,Inlom,atlun mry mWl Ina..vv mMre and mper oon,q"lr.,wwWmemal ,4W gEm Mtl bebw. tletlere IW lam Me—I..I NMer tlacmre uM em ersued Ip ramhx,,o o-BaM to tla M¢tvDR ae pgry¢p,{,I I,Boo, mgven u�mn lmm all Me rcceuary paNae,lndutling e,ryea[mmer,i M1OlMror petlB¢ollntare¢I regardmA V,b pmba T ..yyyal eM¢budurq'e)br rmalew Erb Iba nbrmaibn prm"tla11e eccureia on,guns empby of AAewn Counry aaea¢to ueabve Mxnbgl pcpriy repNpn.Tb4 pem,ir/aplJlnown bewmm null&wltl Il vorM or amome0 wnonm0un o mi=mar—Ia.INF IN &,or Xwnvu,.Mpn—*b¢upm,betl fire per.a1180 d.M PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS SY MEANS OF INSPECTION. INACTIVITY OF THIS PE PLICATION OF ISO DAY F MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08AI) OWNER Mva Galonatl Sv tM OWNER) O OZy j D ALREVIRW APPROVED DATE DENIED DATE TAGSNOTRR/CONDTI'IONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIXE MARSHAL PUBLMC HEALTH E m � ^ I \ }No -- f - IWSE \ ® i < w r 2 AlIL $ �j z 2 e= 6 \ « � §£§ ` \ ƒ l! 1- m y\4 , m » } ; ) \ / C \ a z \ o ® ° ° � _J FF< z w = z o w z ' w O T ib J j 93 i i I I �✓dad �9 I i O I