HomeMy WebLinkAboutBLD2024-01236 - BLD CD Environmental Health Review - 10/22/2024 Permit No: a3&
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
eermRAaJstanceOMIer,WidlmNanning OCT 17 2024 rn
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BUILDING PERMIT APPLICATION a IS W. t <
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: = ZJ
NAME--- NAME:amain—nee m
MAILINGADDRESS:—aEEamT - MARX4GADDRESS:>ss---
CITY:wnaa a STATE:WA MP:— CITY:. STATE:as ZIP:ema � 3
PHOIsaim N6ae1-Taea PHONE:saeggos
PHONE#2: EMAI.:�a•n Zr
EMAIL:J"`r+^ra'RRnm�°°" L&I REG# EXP.—/ /_ z
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ D
NAME waynutmy EMAIL eJnfMeeeeoo-gr.mm r
MMLWGADDRESS `SGOOOwk a CHy MNmoctr STATE M ZIPm
PHONB:DearM CELL Q
PARCEL INFORMATION:
PARCELNUMBER(121hgit Nembc)arweaaooee ZONING ERa
LEGALDFSCRIPTION(AbMewtd) w�cIBNWRr`r FIRB DISTRICTrIe 1
SREADDRESStgNWunWn .- CITYxmseaJ !7 r
DM,CT10NSTOSITEADDRESS NmaerkI mNNa ha Orb Naw McNFYmmwW.
ISTHEPRMR WITIB1N30EFTOFSLOPE(S)GREATERTHAN14Ya: YESD NO@ SNOWLOAD:_yd
ISPROPERTYWITHIV20EFFOFTHEFOLLOWING: KP mall rAvgppg).
SALTWATER❑ LAKED RIVERx REEH0 POND❑ WETLAND❑ SEASONALRUNOFFD STREAM(]
TYPE OF WORK: NEW D. ADDITION❑ ALTERATION❑ REPAIR❑ OTHER rl
USE OF STRUCTURE/AnM .tfmMa.cneenomlel{Fbcl EJaN '—nE —
IS USE: PRIMARY DO SEASONAL NUMBEROFBEDROOMSl —NUMBEKOFBATHROOMS`
HEATED STRUCTURE? YES/NbleBkW D' YES rymrlalrVBW❑ NO❑
DESCRIBE WORKNw JryNMYNnon..M aed<
SOUARE FOOTAGE:UmFnw#
ISTFLOOR`q q.R. 2NDFLOOR0 q.& 3RDFLOORE q.R BASEMENTS K.%
DECKM q.ft COVERED DECK`0- / q.R. STORAGE- q.& 0T 0 q.R
GARAGE- s9 R. Aaached❑ Deq [] CARPORT- q.& Adac#ed0 Degc#ed❑
MANUFACTURED HOME INFORMATION: •d COPIES OF THE FLOORPLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGOSEWERSOURCE: SErTICO SEWER❑ / HEW 'D EXISTBNGEl
FLUMBNGINSTRUCTUREI YESD NO UFEs arwh romplered Weis Adgmry Form
PERIMRTERIFOUNDATION DRAINS PROPOSED? YES D NOQ EXISTING SQ.FT.0
EXISTING BEDROOMS 0 PROPOSEDBEDROOMS ` TOTALB®ROOMS `
OWNER xelow Id as tland Il Meu MmrMJilw meow mao Hawn Ina9rpxaM1mexoreematreuodoM viOA SS CeermMd wM p-y
aNMMeenn.Watlas IM Rn Me comer eMI n..1, Mtliell uneMlee, Mne .rdne.es and to do Me ea Nc(a 1INM
Wn,eeneerw M Ir-m t Ina InM=Mwr-a.idW,aa :anew gm MarDreams:m wn mrae ae ma Me ab Tneweraieeai
a svuduw mr rem..wenaw�newnm�misw NaooN+oanem esnuns&wianwameumammmnw� nunM emm M� Iiq
Mal ape wan
eaya mxmna-am-n.aw a aLLaeam.e mr a wJae a to-e.ya.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(WHOM
��e%i9`,y COUNTY CODE 10.0e.63)
X 7/18/2024
Skinaium of DWNER)Mud M elened W INe OWNER) Can.
DEPARgVIEW APPROVED DATE DENIED DATE TAGSMOTE&CONDITIONS
BUILDIENT
PLANNENT
FIRE
PUBLIC HEALTH It
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