HomeMy WebLinkAboutBLD94-1430 Cancelled Garage - BLD Application - 9/19/1994 C [ '
Permit No.
MASON COUNTY q��
SEP 91994 BUILDING PERMIT IV9APPLICATION �p t�,�0
42s W.
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6 562 8
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i Owner L�HN L � - r�ri �2i��N f ►�,,� ,�;_�r► Phone# -7, -14�-,_`Jcue
Site Address Fire District#
City 3�Lt'A'rt, St�l�_Zip Q 2
Directions to Job Site C-zc u=.ti� "'�LV_-A VL
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Owner Mailing Address )-LZj
City 53.cLLI�I �, ►'t St wA Zip `DROOP
Lien/Title Holder
Address rJ/
Clty ,�1,� _ St Zip
2 Contractor Name N CST -r;zvt Contractor Reg #
Address Expiration Date
City St Zip Phone#
3 If septic is located on project site, include records. (ti �n�r�SS
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Connect to Septic._ Public Water Supply Well 3 3
Connect to Sewer System? Name of System It_. w{, <85Z.3
(If residential, proof of potable water is required) r>,l
I Parcel No. 1Z-33� --' c-'`"2��rs
Legal Description w l �r �� A NGy "F H�•-� ( J��C- S� \` Z �N ?—I
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Lo-r S D
i Building Square Footage: (existing/proposed)
1 st FI I L 2nd FI / 3rd FI / Sesc#ribework
/
Base n / Deck / #bedroomsbathrooms Z- /
age Carport / (Circle:Atta h
O er sq. ft. /
i Use 1`C i Dl T I+��. (1 r-+G
S;C'T h' Qr- A A-*j -A FACE-T V(LZj 1iC�r c y
Type of Job: New x Add Alt Repair Other
MOBILE/MANUFACTURED HOME INFORMATION _
Model Year yj 4 Z- Make_Model U
Length Qc' Width Z-C VI Se iral No.
# Bedrooms 3 # Bathrooms `Z Type of Heat G_ LC-c •7,z 4 c.
Purchase Price $ `I.3
Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other N N c
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY i3L1� c'14- 3c)
Approved Cond. Hold
Approval
Planning:
Y�YYJ S �
Environmental Health:
Building Plan Review Y�AF SpeCS eo ,--T RO' Mi-f t,4N D rAJ
Occupancy Group:�L—? Type of Const�N
I
Fire Marshal:
t
Other:
Special Conditions: FEES
Building Permit
Plan Check
1
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE Zo LYS�