HomeMy WebLinkAboutBLD2024-01337 - BLD CD Environmental Health Review - 11/14/2024 Per [�Iti �.337
MASON COUNTY KKtt
COMMUNITY DEVELOPMENT BUIIdI N0V _ 202a Permit AssBbnce Cents, nLPbnN, L
BUILDING PERMIT APPUCATIOMI5 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR U4WRMATION:��O`+n 2
NAME: - 1 Q6r2V�Sio xAlm:-t�inl4e.-µow InG
QJ�AD ES3: Lo/3�t rce1�M WWI
MARANG ADDRESS: a8ox Ilo
CITY¢:l4mu�� STATE:�ZD?: �Me/ CITY P-hh•LBtzY STATE:k3O Zn. 9� a99 r m
PHONE#I: 360- 191 - 0193 PHONE: 60'139- CELL: v 2
PHONE#2: EMAJL 1nklLrtcmS(�\WFlhn:.l•(OKl
EMAIL: r JV qa ;) am L&I REG# UP. / /
PRARY NTA : OWNERffi CONTRACTOR1_ OTHER❑ ---IM /'
NAMEt-i-l�nMt F:�emcS IaS EMAI Cho a d�1Yt4.�• •,-
MAIUNGADDR8551)08oef Ito CITY w SPATE k0 P, ZIP G
PHONE 1p
PARCEL INFORMATION: CIF 1�j�
PARCELNUMBER(12Di®t Nmoba) 9I9014 I9 DOD 'I ZOND)G Q
LEGAL DESCRIPTION(ALb� FIRES IHSTRICT
SITEADDRESS 1(xa 4E LyncA•, 9- GTTY JM Xl Dn
DBiECT10NST SITE SS <\ r,o.�K- yo-" {O •n•cl 1.J 1 •lJ oMo
flIAI+S�'- 4T E-141 Cl t. t ht L n e�SE L 5 L SW rr.Ll
IS TEE PROMCr WIT UR MOFT OF SLOPE(B)GREATER THAN l4X: YES[] NO O SNOW LOAD:_pa
ISPROPERTYWITHENNNFTOFTMEFOLLOWHVG: pr[.uamggq/.
SALTWATER❑ LAKE❑ RNHII/cR 13 FORDO WHIT. O SEASONAL RUNOFF❑ STREAMp
TYPE OF WORK: NEW to ADDMON O ALTCRAnON❑ REPAR❑ OTHER O
USE OP aTROCIDRE IR•ee..•.r.,,Na c.....am emy Trcf 1ZC-g1de,T,G2
ISUSE: PRU.fARY19 SEASONALOD� NUMBEROFBEDROOMS 3 NUMBEROFBATBROOMS Z
HEATED STRUCTURE? YES lPAd BkWj9 YES�11eO AIg NO❑
DESCRUIEWORK 4D52 S -4 0, \L -('4.PO.\ Ls\AEx cae,
SOUARE FOOTAGE:io r }4 t¢ 33
ISTFIAOR2b52q.8 ADFLOOR q.R 3RDFLOOR q.8 BASEMENT_q.8
DPCK q.& COVF.REDDECKMQq.B STORAGE q.& OTHER q.8
GARAGE 5N q.8 Aeacp 1'kb [] CARPORT q.& Aeb 13 Dne 13
MANUFACTURED HOME INFORMATION: -4 COPIES OF THE FLOOR PLAN REQUIRED"
MAKE MODEL YEAR LENGTH
W TH BEDROOMS RAMS SEUALNUMBER
ENVIRONMENTAL HEALTH:
SEWAG&SEWERSOURCE: SEPTIC-0SEWER❑ / NEW Sm;TDIG❑
PLU Wo w STRUCI ,BC? YEB p P NO❑ I/yu,am.A-.,a WaoAdg Form
PERAKETER/FOUNDATIONObUNS PR YES OPOSED? , NOD E)UMNGS.FT.
E%ISTINGBEDROOMS 0 PROPOSE➢BEDROOMS 3 TOTALBEDROOMS 3
OWNER s*noWBapes Mal Wddsslan&Ina¢unle iffmiatlon may rewll In a dop vats dtlrd pmmX reamdm.MwMero tdayathby
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nP'Beammasrermyew Malimi�Ronmtimso iV lesaoreleaMwnemplo)dd WMason zW= btlretlaredwalDaCP18pwly
ene ewmrels)krreriewene inepenim mla pamiuepgication omrnas nun a vua il.wA or auuvnzm cenewddn b tgmnne�xmmin lfio
earawmm�v wn.nNbsmpenmarpr.P.maaiea mre.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNOT OF THIS
PERM PLI TION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
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DEPARTMENTAL REVIEW APPROVED DATE DEN® DATE TAGSOIOTEM'CONDTTIONS
BURDMGDHPARTERM
PLANNDIG DEPARTAffii'T
FIRE MARSHAL
PUBLICHEALTH
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