HomeMy WebLinkAboutBLD2024-01115 - BLD CD Environmental Health Review - 9/17/2024 MASON COUNTY P..dtN0:a4y_K V y, -#p
COMMUNITY DEVELOPMENT SEP 16 2024
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BUILDING PERMIT APPLICATION
PROPERTYOWNER INFORMATION: CONTRACTOR INFORMATION: Fa I
NAME:Am %bmnxM NAMEJ''11, Al-U t J F ,104
MAH.IINOADDRESS:T5NRaaae.rn. . GADDRESS: CF�VF
CTTy:PPe0fcIuM STATM— ZIP: CITY: U, STATE ZIP: 3
PHONE#I: �na1 PHONE--
PHONE 3. C' 9CELL:
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EMAR,:vmbea@emeumm
PRie��N�IARNTACT: OWNERB CONTRACTOR OTHER
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EMAIL AvmeMBamY.mn
MAIMNGADDRESS TROIiamemtltA-m �—'
PHONE MYt+BAI CELL aeoawa�s LTiy Panom.a STATE WA ZIPaMe? C
PARCEL INFORMATION: ct
PARCELNUMBER(12Di®t Numitoor) 2ou 0w4] ZONBNGRtP
LEGAL DESCRIPTION(AbMeviat<E)Ukelena Wage s Traa 43 FIRE DISTRICfs >
SUEADDRESS4WElskazM1nm Dr CT Myn 'Z
DIRECTIONS TOSITE ADORES S on. gsoon memY B,boarrm EhkeWq Olin maven Canty,TWnIgMmEbkabN en Nn
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IMaYo auttakeYw N.e Pxel WII neonn ne ,,on e14¢0.
ISTHEPROJECPWITIDN3Nn OFSIA)PE(S)GREATEATHANI4%: YESD NOJ3 SNOWLOAD"Psf
IS PROPERTY WT1HBi 200 Ff OF TT�FOLIAWBNG: /r�seu tl�ar pPy/: -
SALTWATER❑ LA El RIVF.R/CREEK11 POND❑ `=AND❑ SEASONALRUNOFF❑ STREAM[]
TYPE OF WORK: HEW❑ ADDITION❑ ALTERATION❑ EBPAR D OTHER C7
USE OF STRUCTURE 00000 «,a,,a..„tl ta{.srJ�+^os
ISUSE: PRIMARYf]+ SEASONAL❑ NUMBEROFBEDROOMS NUMBEROPBATIROOMS
HEATED STRUCUIRE? YES l IAWV 0 YES rymm/a rsWtl❑ NO❑
DESCRIBEWOMK daabbn*y ereaia lI
SOUARE FOOTAGE:IP.aPn,W)
ISTFLOORt*N NSft 2NDFLOORWa eN.& ' 3RDFTDORNs K.& SASEMENTah eq.8
DECK aN.k COVEREDD=CE K,& STORAOEs aq.ft OTHERMa K.&
OARAGE�eN.ft Aa ho?Z DamJ [3 CARPORTnW K.ft Aaaoh [] DaaaWD
MANUFACTURED HOME INFORMATION: 4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YBAR LENGTH
WIDTH BEDROOMS BATES SERW,N[R.1BPA
ENVIICONMENTALHEALTH:
SEWAG&SEWER SOURCE: sauc❑ sEwERp I NEW❑ EEISTING B
PLUMBINGWSTRULIVRa? YES[ NOD YM aoracii ura,, d Wa>aAdegvary Form
PERIMETERArOUNDATIONDRATNS PROPOSED? YPS B NOD =SURC SQ.FT.
E%LSTING BEDROOMS_ PROPOSED BEDROOMS_. TOTALBEDROOMS3
OWNER aMVMel�ea Nat svFanMbn dlnesurab lMmn4bn mry nwX In a tlop wM pE>wpxniit rta'atlm.AMnr4eEaemMdwaM1 b Ey
alynW�e pNW.Itla]art cBNlnamhun aYlla Nlel nnencaoawsry panmimb,INncMbtlriqtl any rte aNeamlleeml holder
r or ofNnitee rePnMm reMpardtnoa GNo lsNpe rooao eaT c—ar.«lM1bnpeal�prtxmeLM,rgaeventl Neltlp intoimwonpm.IEe]Isartion antl r-11&pbyecsWMeson fnunly a¢evmMeana, .. pNpnly
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aeye«rc wrsNtlbn wan b aaapana.tl br a panaa a t m eaya.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNRY OF THIS
PERAUTEPLICATION OF 130 OA S OF MORE WILL CAUSE THE APPLICATION TO BE E%PIRED.(MASON
COUNTY CODE 14.08.42)
SIOn to at OWNER sl n R ER) — I /j
DEP pLRBVRW APPROVED DATE DEN® DATE TAGSM0'MMONDITIONS
BUDDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLICHEALTB
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