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HomeMy WebLinkAboutBLD2024-00417 - BLD CD Environmental Health Review - 8/15/2024 P,.tt N.:ef-19Z y 06917 • MASON COUNTY COMMUNITY DEvELOpw E C E I V E D N-j9, PexmhAnistince hnhr,BWlmaN.PIwWrN _pN BUILDING PERMIT APPLICATI00MArVY"2PEES. tt`N ,P . PROPERTY OWNER INFORMATION• CONTRACTOR INFORMATTON:. '7.. x(aN'IQ:RWIAFAXFNWBM:FGI18 TMSIGNWIW.TIM treet , NAME: CITY: OADDRESS:1eRTFaw X>flvwAlt MARLING ADDRESS:P m CITY:swloxoF SPATE:W+ ZD:2evm CIIY:NaNpx STA713:MN ZIP: ^ PHONE#I:--a+m -- PRONE:x2a+a Cpy— PHONE62:-- PFIONF-TM-SawallnRoawlm EMAD.:Mwawbwymno ,aa;xeawpwxxa IAI REGN IXI.YsoRNsxx EXP.OB/1 /2 PRIMARY CONTACT: OWNERO COMFBACIDR❑ OT11@Q --- 9G HAMS axiNaa®wINB�xax6lwFyTauc EMAIL IFM A C NAWNGADDRE33 a21 wRNAxbAva Bla1 PHONE mmanr ®.L � LTPY RwoiNN 51'ATH rw HP3FM! f PARCEL INFORMATTON: F PARCEL NUMBER(12 Digh NOmbw)22NroMAm18 TANING� O LEGAL DESCRIP1ION(AbbmviO,4lllTONNFADmALYBTA UAT"L ntims,mm plgg�Ri� n 317EADDRBSS M Nxa51eRIANe Qq'I.M,DVIWP DIRECIONSTOSOHADDRESS"E+a^x'w'ebeG."!uwlvrexatlwweua M �!N®uolxw;xewaxusawxwPro Pp1T AH£IEQp'JAIIIF9MUNRNNtl(I IS OXFpNM(881F, FT 108i1.•W � _ Tm PRQILCTRTTRIN3Nn OFS1 E( 4) iARIAXE,pOYNBAPPB' 14%: YFSD NOD SNOWWA ___ aF ISPROPERIYWPPflWMFTOFTHRFOLLOWING:- .otmnpgppP_ SALTWATER@ LAREO RIVERM,R [] PONDO.:-WEMANDO SEASONALRUNOFFD STREAM❑ TYPE OF WORK: NEW O ADDITT N❑ ALTENA'TIGN O RBPABl❑ OTHER fi USH OF 3TEDCIVRE(Aerwan�Ga,Aa,ca..w,wwAlaF.Fx)Rsslcexc2 - ISUSE PRIMARY❑ -SEASONALD NUMBBROFBEDROOMS2 NUMBEROPRATHROOMSs 1 HEATEDSTRUCFURE? YESFrew o YPS pmy.)gagy0 NO]] T DE.RCRID6 WORRD����8I2SFGNw.6:INSIRNCT NEWJbIB.F.(IHII/AXLE - SODAREFOOTAGE: ISTFLOOR1113 N.& 2NDFLOOR eq.& DUE FLOOR_sq.@ BASfilOiNf 1M1 q.8. DECK SN q.@ COVERID DECK9(�_aq.& STORAGB GARAGE q..@ ��b sI.&AEarFed❑ DerahedO CARPORT q.ft AmdredO. OeurAedO MANUFACTURED HOME INFORMATION: -4 COPIES OFTHEFLOOR PLAN REQUIRED- MAKE MODEL YEAR LBNGIH I/ WIDTH BEDROOMS BATNS SIIt1AI.NUMBER - s ENVIRONMENTAL HEALTH: SEWAGF/SEWERSOURC& SE CB SEWBR❑ / NEW[] BXISTINGQ PLUMBINGINBOnU(:IIIRBi YE30 NOS (f/ aAxA oon knd W.,AAya yF PERIMEI'Ht/iOUNDATION DRAMS PROPOSED? YPSO NOD RmnNGSQ.FT. NR , A EXISTING BEDROOMS PROPOSED BEUROUMS.2 T'OTALBEGR 82 Q OWNPR xYmNMpea bN e141MIM a/xxmH6b mnro aa4oamwawait Ina etra xCakeMtl MPMN11MiUgLPdWNIENaaKIIIpINtllb Cy . *na bNPv.l4Haelxtll.New.name!M1aMetea]metl 1--l..d. . -BWpe ..,.EONevakwprtVoaw-Iluw Mblreepanal...allNe nacoawry p.a,, bdea w lnN...1-1 agenlinp lbb pa .d The abler o,NqN repre.99ala4ae,raaaaeeaiLalM1N Me iNaamellm pmNEM b aCCMIe aM Iamb emplv)eea d lAam Cwnry a¢eo b Ne above emvibM grgNly W alamlamae(a.�la�vAlk Y sluapmWm. mbpennNapplimxwr bemnw null a we nvgM oraNMe:ee axaNavetion¢nol mrnmena'ee MIM1in 1® awaa apmeae raapMosm lso ean. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE CAUSE THE APPLICATION TO BE EXPIRED.(MMSON E 14.N.42) 3113 IZ.+ SlRnehlrN NIOWNER Data ARTM � '. _.•„O OAT ,� ..DE IED!- ,QATy, Ui _ I BUBDING DEPARTMENT - i j PLANNING DEPARTMENT 1 FINE MARS[IAI. PUBLIC HEALTH gp�pto> (P mma" e 3 o v D � a g�o m • � �r% I)iy�� - d ill E g a• � .0 i i �C �" � I) / lit 11 10 s z Z • teveem+lttttteeeeeg a ,4�4`iii�[+[ll�l all�- il1ii+ � o IIi `iE s r v N O N $A A N e y,m Y,u y£ a,°dfrh5 35�� C q aom3o YY'aNm m` 4vJ" m � g�gz �t I eE 3H„9 o2v