HomeMy WebLinkAboutBLD2024-01332 - BLD CD Environmental Health Review - 11/12/2024 eermil xyqj�Z
' - MASON COUNTY KKtt
COMMUNITY DEVELOPMENT
P ItmmmmeC wr,Room Ndnnlp NOY 05 2024
BUILDING PERMIT APPLICATION 615 W. Aid
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: P
NAMF-N=IUNWLD6 NAME: - m
MATLMG ADDRESS: 31n MAILING ADDRESS: P-3
CrrY:aL STATE-:WA ZIT:9552A CITY: STATE:_Z@:
PHONE#I:399S N PHONE: CELL: r
PHONE#2: EMAIL:
EMAR.:NKX.C.R6YN W1R7a@m.WL.cDM L&T REG# EXP. / /_
PRIMARY CONTACT: OWNERO CONTRACTOR❑ OiNER❑
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MMONGADDRFSS CITY STATE MP_ LJJ =
PHONE CELL C J
PARCEL INFORMATION: Gz Q
PARCELNUMBER(12 Digit N.m ) 2211"IMIO 1p}RNGRa Q LTLJ
LEGALDESCRIPTION(Abbrovij WTI O Wf3IWAF#219S3?90PTNUFW6E FIRE DISTRICT (yy
STTEADDRESS =EWIMGr Way Gy "WA9e646 CITY
DIRECTIONS TO SDE ADDRESS Nvn 3ro 6RAPEVIEw LOIX+TO WILD GRAPE TO Exo
ISTN MWECTWITWN3OOFFOFSLOPE(6)GREATERTNANIIX: YESU NOG+ SNOWWAD: f
TS PROPERTY WRTRN 2MI FT OF THE FOLLOWING: 1Rdan ntaygyJ:
SALTWATER[] LAKE[] RIPER/CREEKU PONDQ, WEFLANDD SEASONALRUNOFFU STREAM[]
TYPE OF WORIC NEW p ADDITION 0 ALTERATION❑ REFABL❑ OTHER n
USE OF STRUCTURE(xa;dw.e Gaye Gu.. W,..£.)MR
MUSE: PROdARYla SEASONAL[] NUMBE,OF BEDROOMS% NUMBEROFBATHROOMS3
ITPATEDSTRUCTURB? YESMW.22WE YES!/'c.l(e1q NdWO WO]]
DESCRIBE WORKNEW BFR CON6TR11CTNIN
SO RR FOOTA - :�,oao..el
ISTFLOOR2MO p.R 2NDFLOOR00.0. 3RDFLOOR p.B. BASEMENT p.R
DECK p.8. COVEREDDECK I�p.R STORAGE p.R OTHERp.R
GARAGE-,.ft. 4..chd 0 Deta W D CARPORT p.R A. [] D&p W[3
MANUFACTURED HOME INFORMATION: -4 COPIES OF TDE FLOOR PLAN RR
MARE MODfiL YHAR LENGTH
BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HRALTH:
SEWAGE/SFVIDt SOURCE: SEPTtCEl SEWERU / NSWe EXISTING❑
PLUMBMGMSTRUCTURE? YPSB NO❑ If,.,,Wl"ro,I lWed Wmer Ale# ,Farm
PERIMETFRNOUNDATION DRAINS PROPOSED? YES❑ NOB ®LISTINGS@FT.
EXISTING BEDROOMS- PROPOSED BEDROOMS A TOTAL BEDROOMS e
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aera a rcmneuuam wn<le ewoe�aee mre peas d:eo aeyc.
PROOF OF CONTINUATION OF WORK ON THIS PERMR IS BY MEANS OF WSPECHON. INACTIVITY OF THIS
PERM IT APP T OF 180 G APPLICATION
AYS OF MORE WILL CAUSE THE APPLICATN TO BE EXPIRED.(MASON
COUNTYCOOEIA.08,Q) , �/ J
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SIOneM of GINNER Must llO slened MtOa OWNER) D.
DEPARTMENTAL REVIEW APPROVED 1 DATE DENIED DATE TA GS/NOTEVCONDITIONS
HUILDINODEPARTMENT
PLANNING DEPARTMENT
FBtEMARSHAL
PUBLIC HBALTH 1 'L'J 1
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