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,
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BUILDING PERMIT APPLICATI00MArVY"2PEES. tt`N ,P
. PROPERTY OWNER INFORMATION• CONTRACTOR INFORMATTON:. '7..
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NAME:
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PRIMARY CONTACT: OWNERO COMFBACIDR❑ OT11@Q --- 9G
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PARCEL INFORMATTON: F
PARCEL NUMBER(12 Digh NOmbw)22NroMAm18 TANING� O
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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
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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
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EXISTING BEDROOMS PROPOSED BEUROUMS.2 T'OTALBEGR 82 Q
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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)
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PUBLIC HEALTH
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