HomeMy WebLinkAboutBLD2024-01191 - BLD CD Environmental Health Review - 10/7/2024 MASON COUNTY
COMMUNITY DEVELOPMENT
pmmXAPdMann,Center,SnAding,Planning
BUILDING PERMIT APPLICATION W7 ✓l 0
PROPERTY OWNER INFORMATION: CONTRACFOR INFORMATION: ep �f
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NAME: roo ekwe..e Ra au lr 7r{AII.INGADDRESS:16aooelalrl.�nna re lr j
M1—ZHIG ADDRESS:+ TlaOxu STATE:RA ZIP:M1r O 1
CITY: ^u STATE:w�ZIP:r1r CITY: /
PHONERI:xvwfixlr PHONE:—+ss CELL:
PHONEPHONE k2: EMARE
AIL XASxHwnXalamds.caa EMAIL
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PRIMARY CONTACT: OWNER❑ CONTRACTORO ETHER pp
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PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Nuani vz0rrroz ZONMGuIrwaRavlx aRFu
AL DESCRIPTION(AbbrtvuHA)"uvx euc eI mT:z P6x0lxGeuazaap Mleawamne FTRE DISTRICT
TE ADDRESS N EC—WA CIYsU."
DIRECTIONS TO SITE ADDRESS
ISTHEPROJECTWTTHIN3W"OFSLOPF(S)GREATER' NId%: YFS] NOE. SNOWLOAD: af '
ISPROPERTYWITHIN200FTOFTBEFOLLOWEiG: FM'+dlmmnssM:
SALTWATER❑ LAKE❑ RIVER/CREEX❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER I]
USE OF STRUCTURE(FmmaW(untie.CWW-nd FHF Eas)RF81PFxolN.
ISUSE: PRIMARYD SEASONAL[] NUMBER OF BEDROOMS?NUMBER OF BATHROOMSz
HEATED STRUCTURE, YES(wao:e BWE] YES NO
DESCRIBE WORK XEW 6F0.
SQUARE FOOTAGE:ou-pawl
ISTFLDOR+z+z sq.ft 2NDFIAORM5 sq.ft ]RDFLOOR_N-R BAEEMENT_Nft
DECK_W.ft COVEREDDECKss6 x1.ft STORAGII aN ft. OTRER_sq.ft
GARAGE— sq.R Alli[I DabeMd❑ CARPORT_N,ft Aaa'Aed❑ Doa:WID
MANUFACTURED HOME INFORMATION: eA COPIES OF THE FLOOR PLAN REQUIRED'
A(p((g MODEL_YFAR LENGTH
WIDTH BEDROOMS BATHE SERUILNUMBER
NVIRON NTALHEALTH•
SEWAGF/SEWER SOURCE: SEPTIC SEWER 1 NEWS EXISTING El
PLUMBING m STRUCNAE? PESO NO❑ TJpea,as cwrgI and fVaerAdrglmy Form
PEIUMETERIFOUNDATION DRAMS PROPOSED? YESEj NOD EMSnNGSQ.F('.
EXISTING BEDROOMS PROPOSED BEDROOMS s TOTAL BEDROOMS6
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT 1E BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF ISO DAYS OF COUNTY COOS USE THE APPLICATION TO BE EXPIRED.IMASON
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DRPARTMENTA"REVIEW
APPROVED DATE DENIED DATE TAGSINOTESICONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
F F MARSHAL
PUBLIC HEALTH
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