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Home My WebLink AboutBLD2025-00126 - BLD CD Environmental Health Review - 2/4/2025 i%0NMENTAL Pit 02025- D/R(p • Permit No: MAsoNcouNTY HEALTH RECEIVED cOMMuNYPP DEVELOPMENT vaamrc Nsbt,Me center.Buiimw NannIN JAN 31 2025 BUILDING PERMIT APPLICATION t T PROPERTY OWNER INFORMATION: CONTRACTOR INFOigarNi NAME:A2Caa aw—Nnl Eawey NAME: MAILING ADDRESS:"w Rasaap AVE F R' MAILING ADDRESS: m r CTTY:MeINn STATE:WA zIp:iHsP54 CITY: STATE:_23P: m O PHONENI:Moaot-12m PHONE: CELL: p S PHONE N2: 222 EMAIL EMAIL:•rnaranmY22t®pmn.m L&I REGq EXP._/_/_ PRIMARY CONTACT: OWNERQ CON2' AMR❑ OMER1 NAME Aew EMAIL Msw.nelaYnxtpMml.mm MAILINGADDRESSMwBWmsdnVEA22t CITY e'er SPATE WA ZI'M PHONE aapm-nm CELL PARCEL INFORMATION: y9oa,({.. ZIl1-I co PARCELNUMBER(12Di6it Nuwba) F' ZONING � LEGAL DESCRIPTION(Abbteviattd) FIRE DISTRICT STTEADDRESS S2o wavy BHpe RD CITY Slemn DIRECTIONS TO SUE ADDRESS Sn~�m trs mM pan tot wm pnm eery RM2s Aa ISTHEPROIECEWITHINIRBFTOFSLOPE(S)GREATERTHANII%: YESQ NO[] SNOWLOAD:�—Paf ISPROPERTYWITHRS2MIFTOFTHEFOLLOWING: (Cb WahargPlyl: SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREM/❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR Q OTHER DI USE OF STRUCTURE(A. . Rnlua/u ISUSE PRIMARY© SEASONAL❑ NUMBEROFSEDROOMS2 NUMBEROFBATHRDOMS2 HEATED STRUCTURE? YES I>hnta�0 YES rya m No El NO❑ I DESCRIBE WORK Nwa3PNN Famsy BrHanw tent n SOUA_RF.FOOTAGE:0—pyaM IST FLOOR IF sq.R 2NDFIAOR__`_JgJI. ]RD FLOORsq.R. BASEMENT—sq.R DECK_sq.R COVERED DECKA�✓�!!✓✓..a�7Ill1R�L. STORAGE aq,ft. OTHERwl.ft. GARAGEA31 xl.R. Attached 0 Demehad❑ CARPORT_sq.R Amched❑ D,m ad❑ MANUFACTURED HOME INFORMATION: V COPIES OF THE FLOOR PLAN REQURIED• MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHE SERIAL NUMBER- ENVIRONMENTAL HEALTH: SEWAGMIEWER SOURCE: SEFTIca SEWER[I / NEW EXSTING❑ PLOMBBNG IN STRU=RE? YES El NO❑ lfyu,a mm ad WaurAd,.,Fona PERIMETER/FOUNDATIONDRAMSPROPOSED? YES[] NoEl EZISIINGSO,". EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS a races Idsneans IW Imissimwnvand 11Nmrorma'a.mna�I.-inasmp v,on are.0 andWn- ecamwae6amama nan" alPuwre[eNw.i amre:hd i am ua a..a�na and i mnneeanare:na:i ere anuaae m recava mis vannn and w eo we.,ae w HaP+ea.i i�a.a I aewnae v.m:,.mn ran an ma carea.a.y pwea,,ndcmne any eaeream irolama was a�morew rap.m'a,Rmw vaniaa rse oaia.ori.a+ ' �apeeenbLva.nv�eaeN.+wnuaimom�aom pwweahxarek ma granre emgoraea nr M.eon cwnry acweawue anwe aeateae vrepeM .q aovcnaa(al Nrreriewaiw lnapecnon. mn ve+nwaPpicean eacvnn nuuavaanwin weuwonzea mnu�acem is rotmmmere.avmnntao it care«awn.oaemn wex're wapw,e.a raapenpamteq mya. PROOF OF C NTINUATION OF ORK ON THIS PERMU IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PEF7WAP LICATK)N P 18 AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON X // COD CODE16.OeA21 Z/✓/ 2S re N R Must a al Data DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDTOONS BURDMG DEPARTMENT PWNNINCDEPARTMENT FIRE MA0.EHAC PUBLiC HEALTH T§ r ilia ®kI Jig- Moo � § \ ^ ! : d , � . � 22 In | ! ! . ( � i eHalverson _ram S8 ®© ,� .