HomeMy WebLinkAboutBLD2024-01390 - BLD CD Environmental Health Review - 12/2/2024 eRYmu NP:�"!D
MASON COUNTY L_D
COMMUNITY DEVELOPMENT NOV 2 5 2024
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BUILDING PERMIT APPLICATION 615 W. Alder SY z
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PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: O
NAME;I A `k0 44aLNO.NSL1-C_C,I! NAME: F N+�t Nu+�ell p n I'G�
MAD.INUADDAESS: MAMINGAMMSS: D Ro:c 21'I'L O
CRY:SIIms+r• STATHIMO. ZIP: CIfY:��N SEATE:W& ZIP.ft&sb - m
PHONERI: ';l. y9.a93S PHONE:3b*+zFffl CELL:36A49a 42c1a Z
PHONE#2: EMAIL: A, h 1w MA r_.Cr
EMAIL: IA•Aa2A 1 PS�EaWf fs A+ L&I REGR . LRAA SAP. /� v
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PRIMA YC A OWNERCt CON? CI'OR� OTHER El
NAME tl ¢'N EMAIL O.CH-T{N R>hK C 1 as
NMLINGAODRESE L. CDY Ram r
PHONE CELL
PARCEL RNFORMAnQ& w _
PARCELNUMBER(12DIEd Namher) 3ZO�.L-3 L' 900&- WNING_ A __
LEGALDESCRWrON(Ahbnwwwl) f 3l P' FRED 4'
SREADDRESS7— 2 AID cRERILT
m SF+elaea �—
DIRECTIONSTOSREADDRESS WN 'ni CAT-> 6 2 s.G- gN �SIL l�h D
Let AILC A IC U 2 ,&MCT:
ISTHRPRWECTWOTHN3EOFTOPSLOPE(S)GREATERTI(AN1I4: YESO Noo-WOWLOAD:_pef
ISPROPERTYWITHIN2MFTOFTHEFOLLOWING: A-hmrwANgPy)
SALTWATER LI LAEB❑ RIVER/CRBER❑ POND(] WETLAND[] SBASONAL RUNOFF❑ STRBAM 0
TYPE OF WORK: NEW I!k ADOMON❑ ALTERATION❑ REPAIR❑ OTHER
1 USE OF STRUC1V@8 y.rxe.etr a..Ie...Rld Ney eml
IS USE: PRIMARY(-SEASONAL❑ NUMBER OF BEDROOMS NUMBEROP BATHROOMS Z
IRATEDSTRUCNRB? YESMed.Ntrl H. YES dNNa/INAd❑ NO❑
DESCRIBEwoxx
p 1 DPI R.FOOT E:awda
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ISTFLOOR,µ>_`q.@ VIDFLOOR305t ft. 3RDFLCOR q.R. BASEMENT_gl
➢ECK_q.ft COVERED.DlECKy Lp_q.ft MRAG6 4R. =ER_q.ft.
OARAG6 s'l b q.R AnudM IO.De1 [3 CARPORT q.ft Allwha[l Mmand❑
MANUFACTURED HOME INFORMATION: `I COPIES OF THE FLOOR PLAN REQUIRED'
MARE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
R*R:..ONMa NTAL HEALTH: ��{{ .a.fr
SEWAGEISEWERSOURCE: SE C6 M SEWER I NEW - "MI G❑
PLUMBMG DI STRUCEURB? YM14 NOD Ilr ,,anN Amer Adgaary Famr
PERIMET OUNDATION DRAINS PROPOSED? YES❑ NCO EMEEINQSQ.FT.
ERIETMG BEDROOMS Q_ PROPOSED BEDROOMS S TOTAL BEDROOMS--3-__
OWNER adnw:IBw tlM fuEmason dlnaxunle In/or-lion Fry Mel Ina ahgW Mq>gmY Tmealbv AwnnwmEommlal* AI*W
mIn �-.I daaare mal am ma o.aa ma w.ma.maamnn�.m mMadm moi.e uw pamnaw aao m.won as PmPoee3lnm
va,na.d Pa.,naawm en., a a aaaamr Pama.,I waaF am a®.aem ndaNa,.Uda.Cmamma lomrod ma lamlaaN
myea.auuw,mamwaN con lmmw . Pwvnadnmanna and PaNa mpaya.ad Macon cam.aCCasswmaaeaw ea.awwFwade
am eaudum .d.,vbn n uwaawo.TNeedw d In.,nemnecrN awnrxa�wuaumon:eernuwalann ad aommaamo unNn INI
dar+va amawwaa.wn a aaaPaawd rm a vaaad d Uw mye.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIWTY OF THIS
PFRIAR PUCATION OF tM DAYS OF MORE WRLLCAUSETHEAPPUCAHONTO BEERPIRED.(MASON
COUNTYCODEtAAAAT)
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DEPARTMENTAL REVIEW APPROVED DA'EE DENIED DATE TACEMOTESICONDMONS
BUIMU40 DEPARTMENT
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FIREMARSRAL
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