HomeMy WebLinkAboutBLD2024-01510 - BLD CD Environmental Health Review - 1/3/2025 Permix No E
MASON COUNTY RE (_ {i~J
COMMUNITY DEVELOPMENT DEC 302024
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BUILDING PERMIT APPLICATION 615 W. Alder Skeet z
PROPERTY OWNER INFOREATION: COYTRACTOR INFORMATION: C
NAME:PNxaN"MERArxauFAMamrxgu NAME:rm'"uocm*wcnco _ .0
MAILINOADDRESS:HME.tAWmMN1PRPA'E MAILINGADDRESS:tM'�g�RP m
Crry-s STATE:NwA ZIP:E� CITY: >°N STATE:RA ZIP:M^N > Z
PRONE#I:xM 4 PHONE_M'a'Mt CELL:
PHONEr' EMAIL:^'^'roRPobR�—
EMAIL:^bM.wraegpm'm" L&I REOAII-M ' _EXP._I /_ = Z
PRIMARY CONTACT: OWN"[] CONTRACTOR❑ OTHER@ —I
NAME onaaenv EMAIL�
MAILING ADDRESS '.REEWmMNOMNS CITY NM*o+ STATE'A!LP+M^'
PHONE-- CELL
PARCEL INFORMATION: 9y
PARCEL NUMBER II_Digs N. l ae10'roo'001 IONINOaA'm w}F� O
LEGAL DESCRIPTION IAEMovi.ndl wtrsmeoraovrwrf slat...a.... _ FIRE DISTRICTF (�TA
CITY
SRE ADDRf:SS'oN E..xm llNDCMVE RK v" j
DIRECTIONS TO SITE ADDRESS M.BMwlnw..EATrp1.PIg1IBI.OR4MMIN LNEMNM ivNDmlM.we M
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SALTWATER@ LAKE[] RIVER(CREEK❑ FUND[] W'ETLANDD SEASONALRUNOM[I STREA110
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UST:OF STR UCTURE la.tw....Carve.[rw.mx aay L.I R�yE
ISUSE: PRIMARY@ SEASONAL@ NUMBEROFDEDROOMS' NUMBEROFBATHROOMS?
I IEATEDSTRUaURE! YESaINe 13 VESA 11l Q' NO(]
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SQUARE FOOTAGE:wp
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MANUFACTURED HOME INFORMATION: V COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENOTII-
WIDTH BEDR00MSj BATHS SERIALNUMSER'
FNYIRONMENTAL HEALTH: '.
¢ewnOE,SEWER SOURCE: SEPTIC El SEAVER❑ I NEW[I EXISTING@
PLUMBINGINSTRUCTURE? Y'ES@ No blew.aWA wMPleW lPaler Aft Form
PERIMFTER MNDATION DRAINS PROPOSED? YES El w SXIM SSQ.PT. 1211
EXISTINGDEUROOMS q PROPOSEDOEDROOMS r TOTAL BEDKOOMS x
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE IT APPLICATI N F IN DAYS OF MORE NU CAUSE THE APPLICATION TO BE EXPIRED,(MASON
COUNTY CODE 14.08.43) 16-7 .
WreoIDWNER MualWaenetl EV M.OWNERI WM
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TA(LgINOTE .SDITIONS
BUILDINGDEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PI)BLICNEALTH x
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