HomeMy WebLinkAboutBLD2024-00988 - BLD CD Environmental Health Review - 8/21/2024 a Permit Nw UJZ_/710 l--00965
MASON COUNTY RECEIVED m
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BUILDING PERMIT APPLICATION Bin W. Alder S*gg( F}�
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Y z
NAME:IMria A Oe roh M19 .O NAME:SI me HO9 LLC
MAILDTG ADDRES&KO Nazi PL BE MAG ADDRESS:1531550NA.E
CTCY:POdaahara STATE:WA - D:W
CITY:u=M STATE:M ZIP:98MB zF
PHONER1:500-932-1019 FROM,M331-1490 CELL:
PHONEA2:918TeD42Be EMAIL:a1s0UnIOU®eWmmrnOnlecwm D'
EMAIL:Ido@9OI aDiIMY— L&I REG BSIIPREHIBOlO3 ExP.11 )28 Y23. r
PRIMARY CONTACT: OWNBIID CONTRACTOR❑ OTHER
NAMEKMn NMn-GOrNUMIbAPSMMR EMAIL Molmleaaftmm
MAILINGADORESS PO.Bet t1T0 CITY 8unm STATEWA RP983BD
PHONE w921P CELL
PARCEL INFORMATION: gUC1
PARCEL NUMBER(12 Digit Nlan )IY21ENEODE2 WNDHO RRS
LEGAL DESCRIPTION(AEbleviekd)emzlFPmpIURN�pmearaaWbpartYM6aRv FIREDISTRICT5
SITE ADDRESS 51 E PenldrW DR CITY BNW
DIRECTIONS'I'OSITEADDRFSS H dEMWAFletlowaNN3m SLMSe9M1NWlo Nlal Si, a Nftonemm
St 91ao WA-S,d ENn9h Bey PH.daa WA302 E.PWOM"E an Me
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ISPROPP.RTYWITRH42WFTOFTHEP0LLOWINC: ICM4aatmr pW:
SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAMS
TYPEOFWORK: ,md ADDITION❑ ALTERATION❑ REPAIR❑ OTtlERO_
USE OF STRUCTURE(s.4Aae,turaac Coa.n�elm'ebh 1seJSI118�FRmIIY RdaMlm
ISUSE PRIMARYS SEASONAL❑ NUMBEROFBWRRJOOM34 NUMBEROFRATHROOM I15
HEATED STRUCfIIRE'1 YES~amn 0 YES IFowAINAVW IE NOD
DMCRUIE WORX
SO RI A F FOOTAGE:�rmbJ
ISTFID00499 aq.R 2NDFI,00111052 aq.& 3RDFLOOR_eq.ft. EASEMENT sq.ft.
DECK eq.ft. COVERFDODFCK88 eq,R STORAGE ,ft. OTHER aq.R
GARAGEL= N R. Aa W EI DNxhM❑ CARPORT aq.R Al-W 0 Demahed 0
MANUFACPURPD HOMEINFORMATION: e4COPIES OF THE FLOORPLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SFRIALNUMBER
ENVIRONMENTAL HEALTH: J
SEWAG SEWER SOURCE SRFHCS SOWER Y NEW pO EXIS'nNO❑
PLUMBINGINSTRUCOIRE! YESS NO❑ lfy aaarArolAalen:d WaurAdaz FOzm
PERUAETERR'OUNDATION DRAWS PROPSED! YES(3 NOD EXISITNG SQ.FT.
EXISTTNGMDROOMSO PROPOSED BEDROOMS4 ✓`TIITALBWROOME4
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2) q/(
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DEPARTMEYTALREVIEW APPROVED DATE DENIED DATE TAGSMOTE.WCONDITTONS
EURDWG DEPARTMENT
PLANNWG DEPARTMENT
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