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HomeMy WebLinkAboutBLD2024-01130 - BLD CD Environmental Health Review - 9/19/2024 MASON COUNTY Permit No: A n9 4-01130 COMMUNITY DEVELOPMENT RECEIVED Permit Asslstance Center,Building,Planning SFP 18 20A BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CON TRACIDR INFORMATION: 6�5 W .StFE@t NAME:-Flrw Hmu LLC NANffi:�Fln Xmws lit MATING ADDRESS:en EBERCH OR MAILING ADDRESS:9>tEeFAtli ore CTy;unNo STATE:WA ZIP:Smas CITY. STATE:WA 22F:mma PHONE#1-mmoHma FHONH:aeosm oossm,ta CELL:— PHONE#21 EMAIL:xnvn•Oea°'°'°°W,w^w'm" fT1 'A �R:yynO.NMeeMooApeP .. L I REG#AaFWFrBoeoO BXP. ttnrya/_ -O n PRTMARYCONTACF: OWPuaO CDNTRACTOa❑ oT'�p Z so NANE'nrmwm'�'Y EMAIL eem2 In O MAILING ADDRESS altEePAd IXt. CITY U. STATE_EP_ 17 t PHONE aeoewaoNmt CELL PARCEL INFORMATION: pARCBLNUMBER(12Di9k Naa3u) ]DNINO ! LEGALDESOUPDON(Abbrewtlr'alPamuxmY rlue LOTe:Mae>-FpIB DIS[RICfO - Bt EJrk P'ne In �TYMJm %I DBtECTIONS TO SITE ADDRESS RgHanMwsiM.dm tlpnwb.mtl�Pne ln,aNlMan tlr lNL IS TBR PRQPKCr WTCHwIOO FT OF BLOPIS(3)GBEA]ERTBAN la%:' YES(] NO❑ SNOW LOAD: RS'PROATEKO PPASS]AOFROFTBEFOLLDWOND (Lust dfam /_ SALTWATER() I.ARE❑ RIVER/CRPEK❑ POND❑ Wg1LAND❑ SEASONAL RUNOFP(] STREAM❑ TYPE OF WORK: NEW El ADDITION❑ ALTERATION❑ REPAIR❑ OTHER PI _ USE OF STRUCTURE(AWe,:A rye O,ss, + Baaracl ISOM: PRB!"i SEASONAL❑ NI/MBEROPBFDROOMS?NUMBEROFBATHROOMS� HEATED STRUCTURE? YES(nw•3 0 YES?>•Nd eBW❑ NO❑ DESCRIBE WORKMe'e Migie temq reMEHre U AG 1STFIAOR SM sq.R 2NDPL00R__W.R 3RD PLOOR_eq.ft BASEbf@dT_M.R DECK N.R COVERED DECRtE!eE'R' CARPORT p.EA D DaaeAd❑ GARAGE eq.ft ARncbed❑ Deleslul hjL4 F TUREDHOME INFORMATION: •4COPEE40FTHEFLOORPLANRRQUIItED' MAKE MODELYEAR—LENGTH- - WIDTH BEDROOMS BATHS SERLVLNUMBER O HEALTH• ` AGES SOURCE: smicEl 3EWER0 / NEW0 EKLSTING() PL wa sPRDCI'URe? YES El NO❑ 11W sliRa rnseplini Wm®Ads sun,F..m I' NO EIDSTINGSIOIT. P ATION DRAws PROPOSED? Yes❑ E E!BSENGB ROOMS PROPOSED BEDROOMS a TOTAL BEDROOMS a ER. '.Nar iswis&m of lnaau,eH ln(o,melbn mry nntl In a eKp—n,aM1 r wP K nwcelM,.ANPUMetlpensss deutl,Mw .,hssi ioenroam auauK�aa:.a.y vanies:nn�a„eewremel i.�n iwa a in aPoM reae,9 aen�voi n.in.a�.,neao.EeM a � 9 enY sewn e bpem� ssM.Mal lie lnrwmalbn ProvieeE 1.x—nus uns.s,h emPbYees^f Masm Cwnty saess bine above eaxeEeO PmL�Y rePeseMeMa,Nape _ f ,llisssu e4m9n,1 vsnxoM 4et thO nfeauon�eeIMM is as�n Ewe,nrs null 6wHtlxwkweuew,'veE mnsWetion i.nN commecM n#Itln lla PROOF O CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTH)N. INACTIVITY OF TIME ',PERMIT PL",TION OF"0 DAYS OF MORE WILL TIr CODE USE T14.05AHE APPLICATION TO Be EKPIRED.IMNON 9/10/2024 X II Sign"`tY of OWNER(M 'e ba sl ned WIM OWNERI Dd° j 6 D AR AL REVE%W -APPROVED DATE DHORD DATE TAGSINGTRSIC'ONDpl'IONS wG EPARThffiNT p ' G EPAA'TAQwT FIDE PUBLIC TH /\\ t cot 2 , f ` \ 6k ! ° § ® § : i <-E | f )k \ Rai /Q I §! # J � 6&4 § 9 4 a. ! LU IL . b a } CL \ ( 2 / c \ ;: - F- _« < z % E § / g mw = - »e - w ' / � j ® ' j ! a� 3 to. , . | 5! a• . r.zg ] ! !b! ©§ 2 ! £x�ya §/t4� 2 ! S) *,w ,. , 3 ! y \/ \ \ )] s_m am , _ To § \) ° ® §; \ (§\\/ 22 §Qg . / !i