HomeMy WebLinkAboutBLD2024-01210 - BLD CD Environmental Health Review - 10/10/2024 Permit No: Cl
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MASON COUNTY ECEIVED <
COMMUNITY DEVELOPMENT OCT 102024 = m
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BUILDING PERMIT APPLICATION 615 W. Alder Sireet D z
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: = m
NAME:BmMl Bppoeian A Uma Mem Trust NAME Mduca W"h.DnPoo
MAE.INGADDRESS:3MSoNIo"Aaa SW MAMMG ADDRESS:RUT SE ERbe BNE
CITY:BeeMe STATE:`^1' AP.soon CITY:Baa G—W STATE:WG ZIP:FMDe D
PHONERN:.1s1. PHONE:Ro-ar2'ceW CELL: r—
PEONS.N2:2m.em-]432 EMAIL p.poo®.,ax�e oe O
EMAIL.NMgLa goeiYlFylbmal.mn IdI REGF�LFlilazleD flXP.4J 1?023 n�
PRIMARY CONTACT: OWNRRO CONTRACTOR OTHER,
NAN� p AC Cnntradtor EMAIL
MAILING ADDRESS OTY STATS_VP_
PHONE CELL Q >'
PARCEL INFORMATION;
PARCELNUMBER(12Do;it Number) Mib9lxOp]] ZONMG d�
LEGAL DES MMON(Abbmiaed) IAFEUMERICKaa,IAT HNEDNSTRICT'S
SREADDRESS Nat Ye --iPW CITY 9b41bn
DIFUCTIONSTOMTSADDRESS ESIMUantl Roe01 ESTAM OrWEWAy TOTbP,e,I/ery SVeel
NSTBEPR02ECTWTI'BINSm F1'OFSLOPE(S)GREATEBTIIAN14%e YESO NOp SNOWLOAD•
MPROPERTYWT[ELN2 FTOFTHEFOLLOWIlG: ARMaNM WY:
SALTWATER❑ Wix6P RIVJER/CREIXO PONDO WETIANO❑ SEASDNALRUNOFF❑ STREAMG
TYPE OF WORK: NEW Ey ADDITION❑ ALTERATION❑ REPAIR❑ OTHPA O
USEOFSTRUCTURETRVM•r• O—Io.Cme Mt,,E JN fto n
ISUSe PRIMARY SEASONAL❑ NUMBER OF BEDROOMS?MIMBER OF BATHROOMS%
NEATEDSTRUCTURb? YERp. BMoV YESAW IOW*❑ NOD
DESCRIBE WOAK3!''M'N.°°I'k"°I°`MmuW nmwgoE>pmnf nWYNem ruNeaPbP'b.MO,a28FmmN Nram emxq.
SQUARE FOOTAGE:IPmiav0
ISTFLOOR1,2323N,fl. 2NDFLOOR_RA. 3RDFLOOR_.q-R BASEMFNT_Wfl.
DECK_R.R COVEREDDECK80SF R.fl. STORAGE NO. OTTJER_R.R
GANAGE_R.fl. AVOWED Omxhed❑ CARPORT_N S, ARaaxd O lLloehed❑
MANUFACDWSPROMEINFORMATION: '4 COPIES OF THE FIAORPLAN REQUIRED'
MA3:B MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SENALNUMBEA �/
NVIXONMENTAF HEALTH: J J w US
SEWAGPJSEWERBOURCE'. SBPT.I.c RBWEB13 N NEWM MSTINGO
PLUMBING IN STAUOTUREI YES bL NO❑ UYu,etl^a"''O ,J aWmerAd,g Form
PERIN4TERNFOUNDATION GRAINS PROPOSEm YEBO NOG EKLSTINC SQ.IT.
E%ISTING BEDROOMS__ PROPOSED BEDROOMS? TOTALBBDROOMS2
QVNER eW.mbEPee NelwMYwbn a ibmaale lnbmtlbn m%neuX F eMop xah vGv mpmnrl�mwaxvL MauaY$]emMtlwN My'
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTPATY OF THIS
PERMIT APPLICATION OF 1So DAYS OF MORE WILL' 63)USE THE APPLICATION TO BE EEPIRED.(MASON
&arfi&aoriaN 10/09/24 10/09/24
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Egnehee aOWNERNkLMM,nedb BM OWNER)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TA(SMOTRSICONDTI'IDNS
BUILDM DEPARTMENT
PLANNING DEPARTMENT
PB1E MARSHAL
PUBLIC HEALTH
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