HomeMy WebLinkAboutBLD2024-01199 - BLD CD Environmental Health Review - 10/10/2024 ` MASON COUNTY Pe^°°`N°'
COMMUNITY DEVELOPMENT
OCT
Permit Assistance Center,Building,Planning 1 U 2024
BUILDING PERMIT APPLICATION RECEIVED
PROPERTY OWNER MORMATION: CONTRACTOR INFORMATION:
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NAME: 9khP COOK La r aAOAAr MnI
MAR.WGADDRESS: Y 'b MAUJNG ADDRESS: PC 8P 7l
CITY:SII1tYUy0� STATE: W ZB:9_ CITY: MA.N STATE:W ZIP:
PHONE#l: 34p�0 `TTl-4 PHONE: -Z'(L'�ELL:
PHONE#$: EMAR.: N Ekl L
EMAR.: M6aLWyM1lIyM .CMA Ida REG# L 1 EXP._/ /
PRIMARY CONTACT: OWNER CONTRACPOR❑ OTHERQ'.
NAM H EMAIL
MAWNGADDRESS CITY STATE_EF
PHONE CELL
PARCEL INFORMATION: 4q rig M9 5 jDf7j ,5 51
PARCEt,NUNBER(12Di®[Na ) 2210
5
'$O'000 /ZONING
LEGAL DESCRIPTION(rbrevi )RI k+fiS SON L' R D FIRE DMMCT
SHEADDNESS III f� M itt M E CITY
DBt Uims TOSTEEADDRFSs S MASON LATG DilF. TO rr -rjZY
ISTREPROME WIT®VM"OFSWPE(S)GREATERTRANI4%: YESV NO[] SNOW LOAD:_.ysf
ISPROPERTYI LAU FTOFT MEK[.OWEVG: ICAv}mrwappryl: I
SALTWATER❑ LAKE RIVER/CRAEK❑ POND❑ WEILeWD❑ SEASONAL RUNOFF❑ ETREAMQ
TYPE OF WORK: NEW❑ ADDITION Q ALTERATION 0 REPAIR OTHER Ia W nil S
USE OF STRUCTURE Ng ..Cw ..Cmwn°ABug.W
MUSE: PIUMARY❑ SEASONAL)d NUMBER OFBIDROOMS NUMBER OF BATHROOMS_ _
FffAIFD STINCTUREt YFS#YA BIVD =E ., reBkW❑ NOD
DESCRIBEWORK ¢GTpINING WALL$
SQUARE FOOTAGE:/P.ym.g NIA
1STFLOOR p.& 2NDFLOOR p.R 3RDFLOOR p.fl BASEMENT K.R
DECK M,& COVEREDDECK p.R STORAGE p.R OTHER p.R
GARAGE_p.ft AR.W[] DeM W CARPORT p.R An [] I ufo
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUIREW
MAKE NP k MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERW,NUMBER
ENVIRONMENTAL HEALTH:
SEWAG&SEWER SOURCE: SBPTIC)d SEWERS / NEW EXISTING❑
PLUNIDIJG IlV STRUCTURE? YES❑ NOS 1f s,,mw.A—preyed Winer Adegm Fora,
PERNATEIVFOUNDATION DAMNS PROPOSED? YES Og EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSEDBEDROOMS TOTAL BEDROOMS
OXHER`AWMa]gn M4 audnlsam NnP'Ai191<hllp°Itlbn nNyrtauX lne9op gUerrcpCl°ilRwtelon.GC.�wAa1fllaMnlotau°�isbe
.q•ee.e mo•.,.I aeeerecal i ere art owx,e•a i wm�ee.remn i.•e,amm m r�rt m'�e cemm em m ee me rArc a prtpowa.i Mrt
owinea pe•neaionr.om w me�re=�ry peNe:.ma�enp e�y aeeemw naeer o,pan :or imeren,ea•mi,re im:ggea.TMumx prblW
�gassenlaave,reprsenlsma lne inlamatmn prt.aee is aviaR.a Panm emplageesmwason cwnlve�rs io lne aeua mcnEf]prtPaly
em ewwe(:I rer rt.;ewem m:penioo. mi:ce�wapamtioo eemm..•wawiaa�nore�aore.a moewmooaop .a wxna�leo
aya a.g�.m��s ni:e�rce�aee ma ceaoa wleo aevn.
PROOF OF TINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
I PERMIT IC N OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.JWSON
CWNTY CODE 14.08w2)
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gireMre oIOYMER(Mort 4e almetl Ev the OWNER? Dab
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAG%NOTFSrCONDMONS
BUHXnNG DEPARThffNf
PLANNING DEFARTMF]NT
FIRE MARSHAL
PUBLICHEALTH
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