HomeMy WebLinkAboutBLD2024-01384 - BLD CD Environmental Health Review - 11/21/2024 PFYE*ND: 9I1 n2n2�1- 0135'{
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
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BUILDING PERMIT APPLICATION -
PROPERTY OWf RINF RMATION: CONTRACTORINFORMA'liON:
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NAME EMAIL ..1
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PARCEL IAIFORMATION: I I A G
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IS PROPERTY WIPNEJM FT OF THE FOLLOWING: /crxxandayQbl� SEASONAL RUNOFF❑ STREAM❑
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TYPE OF WORK: NEW)r ADDITION❑ ALTERATION❑ REPAIR❑ OTHER n
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MORE: PRNIAR A4 SEASONAL❑ NUMBEROFBE)RGOMS NUMBEROFBATHROOMS _
HEATED STRUCTURE? YES O l BWNNM. �'ll•T'd ❑ NO❑
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DESCRIDE WORK QV �� �
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MAKE
MODEL YEAR LENGTH
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ENVIRONMENTAL HEALTH' EXISTING[ISEWAGFJSEWERSOURCB: SETIC SEWER I NEW
PLUMBING M STRUCNRET
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PERIMETERIFOUNDATION DRAINS PROPOSED? YES❑ NO EXISTING SQ FL ------
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PROOF F COWINUAn OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE T PLJCA F 780 AYS OF MORE ATION TO SE
OUNTY LL CAH09 QIUSE E APPLI EXPIRED.(MASON
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DEPARTMENTAL REVIEW APPROVED DATR DENIED DATE TAGSMOTESICONDFHONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FEE MARSHAL. -f
PUBLIC HEALTH
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