HomeMy WebLinkAboutBLD2024-01125 - BLD CD Environmental Health Review - 9/16/2024 Permit No:&dj�6EQI IVED
MASON COUNTY SEP 16 2D24
COMMUNITY DEVELOPMENT
PemdtAssiFCntt hn>m,B011dIn4PlannlnE 15 W. Alder Street
BUILDING PERMIT APPLICATION
PROPERTY OWNER LNFORMATION:
CONTRACTORINFORMATION•
NAME:NRCpN81RUC3pH -
NAME:Mii xoNFB teW]cnnWxn RC 9Y im
MARING ADDRESS:'ero°GiWien R°81"F° CITY OADDRESS:��—
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PHONE kI:>m4v631m
PHONE H2:EMAIL: puncocmmRr
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NAME xvRnwmrvFaaaw.crAOEu>axouw ru. ZIP»'
om.Illmer CITY eww STATE_
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PARCEL INFORMATIQN: ZpNI.(GURsw ORowTx•REA
PARCELNUMBER(12 DiBit Number) '�0�1p08
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LEGALDFSCRIPTION(Abbmviercd) CITYgO� r
$ITE ADDRE3$31 E cc>Ivwv ua
DIRECTIONS TO$ITE ADDRESS
IS THEPROIECPTPURIN 300 VF OF SLOPEI$)GREATERTRAN 14%: MI] NO o SNOW LOAD:— Ff
IS LTWAT R0 LAKE 00 FTOFTNEFOLIA3 POND W6fLAND1 SEASONALRUN)"D STREAM❑
SALTWATER❑ LAKE❑ R/VER'CREEK❑ POND❑
TYPE OF W ORK: NEV 0 ADD' ION❑ ALTERATION❑ REPAIR❑ OTHER 2
USE OF$TRUCNRE(a'nuwx.Can Comm,5*D"')m:smFMul
I'IB
NUMBEROFBEDROOMS?_NUOF BAiHROOM$�
I$USE. PRIMAAURE SEASONAL❑ YES~16 WO NO[]HEATED S'1'ItUCFURE7 YES ryxo:e My❑
DESGRINE WGR(NEW 3FR
SQU>RF FOOTAGE:fN ml ,ft EASEMENT__,R
ISTFLOOR'ea aI LL 2NDFLOOA_s9'R 3RD F100R_eT R
ft OT11ER_eM1
DECK__W.ft. COVERED DECKto3q.ft CAR N.ft Aamhed� DemchW❑
GARAGE°°° y.ft AamcMd9 Demchtd❑
TlFD HOME INFORMATION: e4COPIE3 OFT�FLOOR PLAN REQUIRED"
MANUFAC MODEL YEAR LENGTH
MAKE SERLLLNUMBER
WIDTH BEDROOMS BATNS
.._..,...a..rna ,NTAt HEALTH: SE EXISTING[I
SEWAGE/SEWER$OURCEt SEPTIC❑
NOD D / NEW S
PLUMMON NSTRUCTUREV YES Uw.aa°°Aro ylered Wmer Adequpry Farm
NOQ E%ISONG$Q.FT
PpUFIR/FOUNDATION DRAMS PROPOSED? 03 TOTAL BEDROOMS3
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3 OF INSPECTPON- INACTIVITY OF M
PPERMRACONTIINUOIOF OF WORK
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PEMORE MICAUSEMEAN' pUCATIONT B EEXPIRED. M ASON
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180 DAYS
COUNTY CODE 14.08.42)
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DEPAATMENTALREVIEW APPROVED DATE DEMED DATE TAGS/NOTRSrrCONDTRONS
BUILDING DEPARTMEINT
PLANNING DEPARTMENT
FIRE MARSHAL 1
PUBLIC HEALTH
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