HomeMy WebLinkAboutBLD2024-01201 - BLD CD Environmental Health Review - 11/14/2024 Permit NO: ►/�.Ako A0
MASON COUNTY
COMMUNITY DEVELOPMENT
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BUILDING PERMIT APPLICATION LO�" I D
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION_
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PARCEL INFORMATION:
PARCEL NUMBERON Dblanal ber) +�1 M.100 ZONING
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LEGAL DESCRIPTION(Abbmiakd)A�'M��+oeu:mawwxaenua FIREDISTRICi
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DIRECTIONS
TO SITE ADDRESS
ISTHEPR=J WFIAMMn OFSIAPE(S)GREATERTHAN)4%: YES❑ NOQ SNOW LOAD:—vaf
M MOPERTVWITHINM"OFTREFOLLOWDIG: R'aer+J+ebayNN:
SALTWATER❑ LAUD MERCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW O ADDITION❑ ALTERATION❑ REPAIR❑ OTHER rl
USE OF STRUCTURE fEaYma,G ,,Cnn*vema o`)REamEXCE
ISUSE: PRIMAEYO SEASONAL❑ NUMBEROFBEDR00 NODNUMBEROF BATHITOOMS?
HEATED STRUCTURE? YES M?ufa bWL❑ YTF°^n/°)NW❑
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ARE FOOTAGE:fP�e4
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_al.ft COVEREDDECI aq.ft. STORAGEaq.ftOTNER_aq.ft
aoo ft Aadched r o,.&d❑ CARPORT qft A—aud❑AGE__aq. ❑10R'ACI HLED HOME INFORMATION: `4 COPIES OF THE FLOOR PLAN REQUIRED'
E MODELYEARLENGTHTH BEDROOMS BATHS SERIAL NUMBERIRONhIENT'ALHSALTH:AGEISEWERSOURCE: SEPTIC❑ SEWERO I NEW I EXISTIHG❑MBINGINSTRUCIURE? YESO NO❑ Ilea.aaach roa +eMd W.,Adeuary FormMETEpAOUNDAGON DRAINS PROPOSED? YESO NOD E%ISTING SQ.FT.
STING BEDROOMS PROPOSED BEDROOMS d TOTAL BEDROOMSER zcknnMMpae IhatauGmbMm din.,IMdim ann mry n nd In a Mina auM-1a pamM nwcalK,"kdaIelaamm M a111aqntun naunu i detlan thin I em Te w r aM I NMel realms Nel l em NNIIad a IMAIM aea'amdeNbEaawpanIlabana"""'wionkom all Ne""ary paNez.9+tluEinO airy eeandamsmsaMsoemm- nmams"NeInama CmMtlee bawnb ene gnnla empryxzINMeson CouMY anceeaNIM atom eaaflEae papalYNupun(el 0r na end Inpac4m ?lea(a�mum,ouat-Semmes null&mid I vdkwI dmm1,m.lawspxka4 far mood IN 160 das
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF ISO DAVIS OF MOMRE WILL
CODE US ET E APPLICATION TO BE EXPIRED.(MASON
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DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CMINTIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
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