HomeMy WebLinkAboutBLD2023-01080 - BLD CD Environmental Health Review - 9/8/2023 MASON COUNTY PermitPlo:12i1 1).-D?.3-ol060
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Permit Assismnc Center,Building,Planning 5EP 0 8 202J
BUILDING PERMIT APPLICATION n1
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PROPERRTy OWNERUJFORMATION: CONTRA OR INFORMATION:
NAME: Estl TC'l NAME: LE Pyf S 1915 -20C• S
MAEAN(Gf�A,DID'RFSS: O MAII, ADDRESS: Ri 0
CITY: 9AV6.sc STATEjg�zIP: 9953R cILY:it-bt`fq.%c STATE:y P, ZIP: 33 D Z
PHONE#i: PZO�-391 -75'e� PRO :106 34 '�$�aCELL: r
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pR7A1ARY CONTACT: 7egOWNER Iy CONiMC1'4MI 3MwQ 1. —1
NAME
MAILINGADDRESS aMT'MYL ~ �Alz _ IP r
PHONE 2 6 SAl 7R-6 CELL 6
PARCEL INFORMATION• n
PARCELNUMBER(12 Digit Numbs) '��3rtS- y3� Ott ZONING
LEGAL DESCRIPTION(Abbmv ) w3M�R�IkBAS�--%&
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SITE ADDRESS 617 W6 Ta.sne.'ty� T1� CITY TetP.ImNs t�k_ 9 QSQDIRECI0MTOSMADDRFSS kkt bV�e- 092--M _�� -*- 9BS FROJKC F WFnffNWFTOFSLOPE(S)GAN 14%: YESI NO Q SNOW-ILOAD'.LSPROPERTYWFF® MF1'OFTHEFOLLOW1r�D0 SEASONAL RUNOFF Iy STREAM❑SALTWATER❑ LAKE❑ WVERICREER❑TYPE OF WORE: NEW Jr ADDITION 0ION❑ REPAIR❑ OTHER ❑USEOFSTRUCTURE(Rnwx.e aeiC�NelMas •dene4 MFC� Npn t.ISUSE: PRIMARY❑ SEASONALUF,.,/NUMOOMS-A—W BROFBATUEDOMS�BEATER STRUCIDw YES(wb mooLTNq❑ Al -1' k�ili16.DESCR®E WORK •��(SO .LRz.�] FF—FOOTAGE;(p ,.d)
IUFLOOR_IW,fi. 2NDFLOOR FLOOR sI.R BASEMENT_-%&
DECK 1 K.& COVERED DECK_K R STORAGE W.R OTHER Kk
GARAGE—p.&Armched❑ De Ac 1] CARPORT ,.B. A..chm[] Deloched❑
MANUFAC'TIUREDBOME INFORMATION: •4COPI�SOF TOE FLOOR PLAN REQUMM-
MAKE wgy Mom 12Ig CT YEAS ZOQ% LENGTH 61)
WINTH BEDROOMS BATHS�SERIAI.NUMBHR2'IS-OCP�M-Ab/�rN1
ENVIItONMENTAL HEALTH: -/
SEWAGE/SEWERSOURCE: SEmcjg SEWBR❑ / NEW❑ EXISTING
MUMBINGINSTRUCTURID YES ty NO❑ lJya,aaarb ce/pIZIM IP^wAdryuaO Fo+m
PERIPIETE%FOl DAMMDRXINSPROPOSED? YES NOL7 =FDNG SO FT.
EXISTING BEDROOMS PROPOSEDBIDRODMS TOTALBEDROOMS�
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNNY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL
CODE USE THE
APPLICATION TO BE O(PIRED.(MASON
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SIg .md OWNER IMua1 W Wgnwby tAm OWNER) DtN
_ DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSNOTBS�CONDITIONE
BURDRIGDEPARTMENT
PLANNING DEPARTMENT
FIREMARSHAL
PUBLIC HEALTH
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