HomeMy WebLinkAboutBLD2024-00519 - BLD CD Environmental Health Review - 5/14/2024 PCTmk Na•,]/Ui 7f174 �0' /
Aft MASON COUNTY E1 E I V E D
COMMUNITY DEVELOPMENT
pa RAaisa¢aC ,,BDnmmpjo n MAR 14 2124
BUILDING PERMIT APPLICATION RIS I V. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR IN!F1ORMATION:
NAME:KwI tQObin lIi.1Ih4G�. NAME:T ✓a 661 q IC•1
MAIi.R�GADDRESS:2671 C. sn d: MAR.ING ADDRESS:
C11Y:C eu STATE:�Z]P:RNSYb CITY: Ally e. STA ZIP: t T
PHONE RI (36O 7f-742y PRONE:
PTE)NE N2: IIlNAII.��n�,.z� I[� /S m G..ta. Ca.., m
EMAH.: r W[•TL�M I.R3 #SREG ASO.J 6 74705
PRIMARY O ACC: Gw o CON1McroR® mRER�❑
NAME V QMIL �9M�1 I•Caw�
MAB.INGADDRPSS R x 7R1 CITY AILS, STATBZH' 4A�"Ly m O
PHONE/Rol cOT.z6TLC. CELL D z
PARCEL INFORMATTON: ; z
PARCEI.N ER(I2DiBtb[.h) Z2Z33-SZ- OOO S7 ZONING m
t POALDB3CRB'DON(Abbreviated) F1r •T S yr6rr O1 6MS711SEwsTRICT z
sTIBADDRRss Z671 e• U,_ � J,. E. CITY 6cga.:,w- WA 46F"v
D ONS TOSDE ADORERS I.0 CIA
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SALTWATER
LAKE
FRORTHRPOLLOWNG: (ca WETLAND
sALTwwTm❑ LAIC® RlvewcRFFs❑ POND❑ wennND❑ SEASONALRUNOPF❑ srREAM❑
TYPE OF WORK NEW❑ ADDITION E ALTERATION❑ REPAUI p OTTRR p
USE OF STRUCNRE(Mie.w O.y..cm.wMs/eI.W� Tdet.K— (a`� ..
ISUSE: PRIMARY ,SEASONAL❑ NOMBEROP BEDROOMS�NIR./BER OF RATHBODM3�__
HEATED STRUCII)ItE? YES tNbb R YES(PW+1 gRNd❑ NO❑
DsscRlRB waRK Fly1d'�; )b cw/i Cai 4.
SOU AU FOOTAGE:&,,—S
�n
ISTOR /YSR N.a 2IDFIDOR 9.8 3RDFLOOR ,q BAS®fPNT $/�a sq.
FlA C�
DECK N.B COVEREDDECK/V4 1.a STORAGE eq.a OTHER eq.a
GARAGE aq.fi Auachd❑ DeruD D CARPORT p.B Am o D.Ud❑
O -ACOPIFSOFTREFLOORPLANREQUERED-
MAKE MODEL LEN
BEDROOMS BATHS SERIILNUMBHt
ENYTRONMFNTAL HFAI TH:
SEWAGF/SEWER SOURCE: SEPOC❑ SEWER❑ / NEW❑ EXERTING®
PLUMBNGDISTRUCTIIRE? YESf No❑ qTJ3•a,mmcF mmpiemd WarsrAdemmry Form
PRRRAETER/FOUNDATION DR S PROPOSED? m pn NOp EXIS G SQ.FT.
EXISTNGBEDRWIAS I PROPOSEDHEDROOMS Z— TOTALBEDROOMS =
O E ImuMeeaes 11ia1 suMniszm Miracwrele lnfwm�m/:eMna9m xvk aNxmpD:nie:exulvn.AWwMWWmmamRMNb/
siggnn aturem aelmv.l tledare tM1a11 am Ne owner ane tu:IM1er Ealaa PM an a:tilmf ta:aan Nis p6nnil atl tp MNexvk m pappse].I M:9
Detainee rem�izson rcan au Ne neoezzary monies.inmeiN any o�nam nDBa a wi0m a imwR mOxeinP Nis v:gati TM wwra Ipel
rtpm3mmaw.repesanl5 Nd ma ImDnnaeon v:D'+ieDe 5 aowra.am ym:rs.::PIDa..z a Nasm epwN.�z m Ne aeDw eDa::nea Proaro
dM uff Msl tareutevaneinspacdi for is Pe:mNapp days EDmnn ntllBwNRwM1vaullrr'vN v9ur8'on iSMw:marcee rMin lH1
ears o<rc�emcepn wx iz:uzpzneae a a v�a teo eoyz.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMR PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.NA2)
X
SgneWmdOWNER(M:mtm AlP:sed bviM OWNER( Date
DEPARTMRNTAL RAmw APPROVED DATE DENIED DATR. TAGSMOT CONDITIONS.
BLD.DNGDEPARTMENI'
PLANNRIG DEPARTMENT
FBtEMARSHA
PUBLIC HEALTH
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