HomeMy WebLinkAboutBLD2025-00076 - BLD CD Environmental Health Review - 1/3/2025 MASON COUNTY Permit N..DL� OCE { W
COMMUNITY DEVELOPMENT f �VD
Permit Assistance Center,Building,Planning JAN 23 2025
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTORINFORMATION:
NAME: jnei NAME: MENTAL
MAI.II4Q ADDRESS: S22A 5 S-atE ST MAILING ADDRESS: ENVI"v.,Inn I�
CITY:TBCo,ws 4STATE: WA ffi: P4d CITY: CELCELL.STATE:_Zw:_r lE LT fI
PHONE#l: 1160- 10 -030F( PHONE: r
PHONE#2: HMAIL
pMAB.: n. L&I REG# EXP.
PRIMARYC TACT: OWNER CONTRACTOR[] OI'IB:R[]
_ NAME EMAIL IACetifAiLi UIC�Od6t.(OM
MAfUNGADDRESS 2 CITY T4c SI' Ian ZIP
PHONE cELL%6o-44b-O3b1t ✓
PARCEL INFORMATION: 'P�, Y�
PARCELNUMBER(12 DiFt Nwpbc) •12O I Q- S I -OKY!3 ZONING R 5 n�
LE.GALDESCRTTION(Abbevieted) FItEDLSTRi
srrBAOTE gQp Pnrr PI C Y CITY chg(+on J,
DIRECTIONS TO SITE ADDRESS(6 F 1p1[aA 0f n PI 6
^„3 ' - , AG 'Z CA at OL F
ISTHEPROJ@LTWITHN3Nn OFSWPF(s)GREATERTOM14%: YES[I NOg SNOWWAD:�A
1SPROPERTYWI'f'HN2NFTOFTHEFOL1,OWING: (Ow[m MwwrvYJ
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STAEAM❑
TYPE OF WORK: NEw IL ADDITION❑ ALTERATION❑ REPAIR❑ OTHER
U360F STRUCI'tIRE(rcmwre,r,mr..Ca+wnerdaMS Ex) PP 'As..Re< �O
IS USE: PEIMARYa SEASONAL❑ NUMBERWBEDROOMS 3 NUMBER OP BATI WMSg
HEATED STRUCTURE? YES IwrobAgy{g, NO❑
DEscRmE woRx t`nr•1 M• ..r--+ r d 1ar,N..�,
SOUARE FOOTAGE:pnopw.p
ISf FLOO� dG N,R 2NDFLOOR N.R. 3RDFLOOR N.R BASEMENT_vi.R
DECK N.ft COVERED DECK K.A. STORAGE e .H OTHBR_N.R.
GARAGE_,R Aa he [] Detached[I CARPORT N.B.Ad hao DeWWCI
MANUFACTURED,1H�OME INFORMATION, •4 COPIES OF THE FLOOR PLAN REQUIRED`
MAKE��1d�N / 'Y ODEflly�lm fhh YEAS Zs-- LENGTH sa,
W M,jq. BEDROOMS_ BATHS Z SffiUALNUMBER Ten
ENVRRONMENTAL REALTH• JJ
SiWAGBJSEWERSOURME surd sewEa❑ J NEwfif EXISTING❑
PLUMBNGNSTRUCTURR? YF3.0 NO❑ lJWy otreeA epmy4Md WoraAdegvpry Forty
PERIM1A'fER/POIINDATION DRAMS PROPOSED? YES[] Nam, EXIS'TINGS(IFT.
E.)0STLNG BEDROOMS PROPOSEDBEDROOMS TOTAL BEDROOMS
OWNER.1-1lpsNeteuE rnINnd...ndINIMomieYmliry insult Ina¢lap vwk wtleror pennilrn.d th H?noWetlBemeMIN r.-uby
s10reWre Celmv.l Eeclea Nrt em lbe auner antl NnM1ertlttbre Medan entiYeO to rtmiw lM1b pennitennbtlo IM1e wMea h.nw t.l M1aro
oblainetl prtmlasim imn BII Ne necessary gnbe,includy.ny .nd .Mkerer,f a11n1em �aNing Nls poled. TM1¢pwneror lapel
lepluen4;;r ITS Mel Na Inlormepon pmWGetl le eeculeb enE pnnb Employees of Mawn Wunry Ne eWVe GexAbe]gopeM
Wdetluc *s)lwnMeweMlrsp lien. riape Wapplicetlm My null&md tlwwkmaWnnzaiwn dOnis,a—nrn—d"blh 180
dayprrcmnaW wkleawpnMmrmaprlp dlw",.
PROOF TINUATIO OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE U 10 1S0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EKPIRED.(MASON
1 (AUNTYCOOE14.09.411
EIS,
X of ust ba tlan.d by Ma OWNERI DMe
D ARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGSWOTES/CONDITIOINS
BUILDING DEPARTMENT
PIANNDJG DEPARTMENT
FIRE MARSHAL
PUBLIC FIFALTH
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