HomeMy WebLinkAboutBLD2025-00055 - BLD CD Environmental Health Review - 1/23/2025 Permit No:Zj,b .N S'l/��S
MASON COUNTY RECEIVED
COMMUNITY JAN 1 62025
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BUILDING PERMIT APPLICATION 615 W. Alder S root
PROPERTY OWNER INFO� IRI��MAT[ON: CONTRACTORIN FORMATION:
NAME: J O.SDr` �K NAME:_5 rn
MAILINOAES) E : l010 l; -P<I< f i MAILING ADDRESS: z.
CITY: kextvv STATE: ZIP: GASB'4 CITY: STATE: ZIP: 9
PHONENI: 7t.0- N40- laltl PHONE:—CELL:
PHONE R3: EMAIL: (O r
EJ.LAa: • ,R: .w..,. LRJ REGN EKP._I i FL mp
PRIMARY CONTACT: OWNE,& wxrRALTOR❑ OINIX❑
MMfi Shrr,' EMAIL
MIVNG ADDRE4 QIY STATBLP
PHONE CHLL Z
PARCEL INFORMATION: —1
PMCEL NUMBER(IS Dige Nbnbv) �2122 - It— 0002.0 zoNB+c r
LEGAL DESCRIPTION(ANPevi.ai FIREDUTTMa
STIEADDRESS IDlO t gtl[ L:nR jI GIIY n, El
DIR ONS TO SITEADDREES Fro.- H.�. IDI #y<� av Eo-eilE F . 5,1t
e.. r wt addreu.
L4 TH6 PROJECT WITHIN TOO FT OFSLOPWS)CItGTER TRAM II%: YEVK N00 SNOWLOAD:--,R
ISPROPTERD LAKEDpFT OR THE PDLIAWDIG: AArfrbgM:
SALTWATER❑ LAKE❑ RIVERA:RPD:❑ POND❑ WEMND❑ sRASONAL RUNOFF❑ STRIi1M❑
TYPE OF WORK: HEWIK ADDITION 0 ALTERATION D REPAIR O OM1
USEOFSTRIPCNRE(&Wev.ri®r.fsind.IN*. ) AOV - CjD Si MNSG
MUSE: PRDAARY❑ SEASONAL[] NUMBEROFBFDROOM _L_NIBABER OF BATHROOM3�
HEATEDSTRUCiURE? YES(RA. D YESp -], lwy NOD
OESCRBPE WORK E.,J 0.1♦w
SOUAR6 FOOTAGE:4ve0r
ISTFI.00RII46 y.ft SND FLOOR I_y.R 3AD FLOORq.ft BASES4HPq.ft
DECF._M.R COVEREDDECK51110 .K STOMGE aq.R OTHID.
GARAGE—am ,.R. A.-A d0.DN w CARPORT a"ln fq.R Am+dW D IMxhM❑
MANUFACTURED HOME INFORMATION: V COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENGTH
WIDTH B®ROOMS BATHS SERW.NUMBER
Ud, WLFa l r% i l b at% l{ *Ad O
SEWAGEISEWEKSOURCE. SE (K SEWER❑ I NEW❑ ERTsmooG
PLUMBING P'STRUCNItE1 YEtur NOS #/,,rbeh vngl.MWrs Ad gwry Fww
PFRIAhTERNOUNDATI�l DRADi PROPOSEDM, YES❑ NOO EMMNGSQ.FT.
E%ISTDIG BEIWDOMS PROPDSIDBEDROOMS--�— TOTALBEDROOMs
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PROOF OF M"NUATION OF WORK ON THIS PERMR IS BY MEANS OF INSPECTION. IMCTMTY OF THIS
PE APPLN:ATbN OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EIIPIRED.(MASON
COUNTY CODE 1Am.Q)
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DRPARTMINLAL REVIEW AR OYED DATE DEN¢D DATE TACSRq'TESICONDTUOP9
BNLDDV(}DEPARTMENT
PLANNDiG DEPARTMENT
FINE MARSHAL
PUBLIC HEALTH
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