HomeMy WebLinkAboutBLD2024-01162 - BLD CD Environmental Health Review - 10/1/2024 No PBTRNt : -
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MASON COUNTY
COMMUNITY DEVELOPMENT SFP 24 2024
V ftfttlsbnmcemeg BuildlnMPlam IM
BUILDING PERMIT APPLICATION 615 W.Alder t
PROPERTY OWNER INFO . ATIOIN: CONTRACTOR INFORMATION:
NAME A ` /' / NAME. A4XV h6lt3
CC Ah ��S a /.
OCT
CITY; .h. a ATE A �g STATE: Z :
PHONE l: f(ls /S p p�2G
Yce�d% PHONE W.8N/9//OCEL4: - I�fL.
PHONE#3:. EMAIL ��� T 1eatl.� .c.-=. f/VFD
• EMA1L- L&I REGO U FIT /
A CONTACT: OWNER❑ LONT CTOR� OTHERIJ
NAME jfS7 Yw! SNAIL /9hc 9si1M L3 LtdCwv`/dltiYLdK.
MAILING ADDRESS I9j.A4 J�i/,.a�:_ /.�w _ CITY m. _ZIP
PHONE [ELL
-PARCEL INFORMATION:
PARCELNUAlflER(12 Digit NWobu) Sn"Sv mNmG. X:�
LEOALDESMIPTION(Abb "hbd) .FIRE DISTRICT.
SITE ADDRESS 7'$0 a�&.
DIRECTIONS TO S
MTREPRO3ECTWITHIN300n OFSLOPE(S)GREATER THAN U%: YES13 MOO SNOWLOAD:,_paf
ISPROPERTYWITHm30017OFTHEFOLLOWING: (Cheeha otorq*iS:
''. SALTWATER❑ LAKE❑ RTYER/CREEK❑ POND❑ WETLAND Q SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: N J& ADDITION I] ALTERATION❑ REPAIR D OTHER Q-
USEOFSTRUCTURE(ft M (betasbn..m0/BBp. )
ISUSE: PRIMARY} SEASONAL[] NUMBER OF BEDROOMS NUMBEROFBATHROOMS_
HFATEDSTRIJ RE?. . .. .(Ilav m"13 YEs ulelieilQ N
DESCRlBEWO._
SOUARE FOOTAGE:lrwmd ISTFLOOR lINZN.R �q 2NDFLOORj�aq.R 3RD FLOOR aq.0. BASEMENT N.ft
DECK aq.R COVERED DEC N.m STORAGE aq.R OTHER_3�_ aq.R
GARAGED .R.R Al hed8 Dol;hd❑ CARPORT_aq.R ARpchd❑ Demched
MANUFACTURED HOME INFORMATION: e0 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL - YEAR LENGTH
WIDTH. BEDROOMS BATHS SERLU.NUMBER
ENVIRONMENTAL HEALTH:s ACIEISEWCft SOURCE: SEPf1Ceyq, StIYER❑ I NEWIg F]OSCWG❑
PLUMBINGINSTRUCTURE? YES& NO lfly,oRr A emplebd walm Adp ,y from
PERIFRTPR/FOUNDAlION DRAMS PROPOSED? YES NOCI EXISTING SQ.FT
IXISTNGBEDROOMS_� PROPOSEDBEOROOME TOTALBEDROOMS. _
gVlffRacMmalWpm Mtl.ubniWm YYaminMinlcm�tllm msy neW in•slap vcM aagvgmi nwcmtivn.Atlameapemgedwm bhy
aY}IBWn WF/.IdKYn MVI l m tlw cxnsN I NNvdYCIYv Nvl l am eMYea b nxMe Nb gmAlaM b ap IMxpY mp�yvael.l Ewe
dWnMpmnbaun Imn a1Na'axvu'y pxaea,hntlud�g eny eoemeMM1ddv m paNn W MbreY rtpading WS prgaQ The wmerurbBN
npa.enMtlsa�ePeMrM tlW Neln(mnelkn povlaed'o avm9e end pants empbyees IX Maas CaMyacwe b tM move amiEed pm[wty
gt%orl fel.)MreebNaM Inm.mon:for
Paimi&INdap.o..anrs nu0awanvmM>aulnotae owawaon la na cvnm.r¢=awWa yet
•eye orYcwMruNon wh b ynpaMea Iu a Po�IX 1G0 aen
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPUCATION TO BE EXPIRED.(MASON
COUNTY CODE 14.05A])
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Siruitdm d OWNER be anted bvdm OWNER) Dab -
I DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TACSOVOTRS/CONDOTONS
i BUILDING DEPARTMENT
PLANNMGDEPARTMEFU - -
FIRE MARSHAL
i
PUBLIC HEALTH
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