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HomeMy WebLinkAboutBLD92-01503 Garage Foundation - BLD Application - 1/13/1993 Permit No.$LD MASON COUNTY BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner f/-/l t i rD /Y, , i s rl r Phone# Zo 2 - 3 Site Address --4- 3L F 7/- �►/f�,,,� L/� �,� E City vi.Ew St c,�j/4- Zip Directions to Job Site N[YLT7f TO �� rt Owner Mailing Address city gc-1,1A15 i2, rl-- St �+� Zip Lien/Title Holder. Address Zip . #2 Contractor Name y N /2,'A-E JVAh' N. Cent=-actor Reg#k?A(f/ Addres ��rr ? � s/7�'ri /'-"l�U�.1 :x,�� �� - .�EExairation date_ /Z/ =� / Z- Y S t Gr' Zip —Phone ZC :?6 7 l i #3 If septic is located on pFO-Mble i�, include records. tic? Connect to Se P _,k'_. Water Supply_ Well_ (If residential, pr f water may be required) #4 Parcel No. Legal Descrip !" #5 Building Square Footage: (existing/proposed) 1st FI / 2nd 71 / 3 rd Fl / Loft / Basement / Deck L #bedrooms _ #bathrooms_ C'azage ort / (Circle: Attached or Detached?) Other sq ft _ / #6 Use of boil Q t1�'Ala<C�' Describe work _�' X.�G� 60����•. Gt0 ,© ; #7 Type )a'f Job: New Add Alt Repair Demolition woqgrstove Re-Roof Bulkhead Other #8 MOBILE HO wM=ON Model Year Make Model Length Width rial No. #Bedrooms #Bathrooms Type of Heat #9 Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other Show following on the site plan Lot Dimensions Flood Zones i Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Scale: Name of Fronting Street Date• APPLICANT TO DRAW SITE PLAN BELO PLICANT TO DRAW TOPOGRAPHY PROFILE BELO A V I y �-4 a DRIP eDbAe `� V)li vl Se+bCtC., _ �p 3o x 3° Q� ry h &A126CI ��Noo'�or� N �K F—T eti'' III -7 0 c', r �,g o6i LE ' M Xq8 r (off (oc� Aso L KE