HomeMy WebLinkAboutBLD2024-01398 - BLD CD Environmental Health Review - 12/26/2024 MASON COUNTY Permit No: Sa o2o24-US3q�6
COMMUNITY DEVELOPMF „EI VED
Permit Assistance Center,Hulloing,Planning
r BUILDING PERMR APPLICATION
PRfIPF.RTy OWNPR INFORMATION: fONTRAf^IYIR INFORMATION:
j NAME:kAW-11Z,.id✓ }�¢Ji�.� NAME:�' C/pr"J3T��TILO#>♦LtyC�i :
MAILING ADORES dua(W°a'P>6.W Ga�3 I
CUY:j QWBRta/aW STATE: ZIP:1B CITY: t 0STATE: eae4 ZIP:�A}6'7
I PHONE#I: =d- 17'110 PHONE 17EI1:3403VO IV.24
I EMAIL. R"Fl-Y Db C r'A LAt REG# C��Ifi 2A16XP.Lh"r�-s
NT OWNER❑ GDNTRALTGR[y/ DTHmt❑
j MAIMNG ADDAESS OLfair H CITY STATE ZIP
PHONE
PAR('Rr RNFORMATION: T ,
PARCEL NUMBER(12 Digit NutnM) 7,^]OS i 09 D"3 ZONIN
. LEGAL DESCROT[ON(Abbtevit1W, nY 3u(�51: f 9'T )LI FIRE DISTRICT
SITE ADDRESS^at I- AAA 2L€2 C-J CITY t
I DIRECTIONS TO SUE ADDRESS
I
' 1S TB8 PROJECT WITHIN 300 tT OESLOPEIS)CRBATER THAN I4%: Y60 NOD SNOW LOAD:_pY
IS PROI'EBTYWITRDYZOU FI'OFTBE FOLLOWING: rn.WETLANDL
I SALTWATER❑ LAXE❑ mVER1fREEK❑ POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑
' TYPE OF WORK: NEw ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ -..
UEEOFSTROCTUREIE•++ ,,r ..� ,a x'bft ReSrh€ / - t_^
I m USE: PRIMARY 19 SEASONAL❑ WMEROFBEDROOMS—a .NUMBER OFSATEI WW—S —
HEATEDSTRUCTURE? YESnm iadiil®RI YESrron(,Iq j1 NO❑
DESCRE WORN / nF { ;] ,J ^ =
ROD RA aa/J���P���AGE:rvmwm ii
ISf F].00RA.7,Z-T_a9.R. 2ND FLOOR_WR. 3RD FI.00R_eq.R. BASEMENT_rq.ft
DECK._eq.A COYE]tEDD �.R. ST MGF N.B. OTHER.—N.A.
OAMGE.V sq.R. Anarhed Derarhed❑ CARPORT aq.fl Atmdtedo Dmhad❑
MAN(IFAGTURED HOME INFOHMATIONt WCOPMOFTHEFLOORPLANREQUMEDt
MAleR MODEL YEAR IFNOIH
WBUE BEDROOMS BATHS SERIAL NUMSPR
ZMatQM1fENTAL HEA1 L
SEWAGVSEWER SOURCE: SEPT,IICJ SEWER❑ I NEW Q EXISTNG❑
PLUMBING IN STRUCTURE? YES Lt( NO❑ lfvea,onaib rnmplrnd WN arm HrAftu F
PERBIgUERpOUNIATION DRAINS PROPOSED? YES E/ NO[] ERSI9NGSQF��T... j
EXISTING BEDROOMS S PROPOSED BEDROOM TOTAL BEDROOMS l!y I
1 pWNEa acl:wwlatlputMt HubniulPn dinacrureN lnlormeAPn mayruWlN emop xvrlr arlerw Parmilrewnlbn.Ninowle3d MdwGIYb/
siytleiure IxWw.l Mtlare Net I am Hro Pxner Dntl 11Ynber OadHre Nal l am entlHM n,eWve Xvs prmlt Hntl la Ee NH wPM es FraWeM
' �Nr2tl penniuipnlmn tll Nenxauery PatliPs.Intludng any eazHmenlnWtleror paniuWNlereHl nparNnp Nlfl Orge0. TheownarwlepN
repuerletire,rePrasemeNm Ne in.-7n1I=ise on H prz^Ia employwead Mace Cm a owdloln above tlscribai P�aAb
mq tlruNrtels)Iarenex uWinapeoion.'Rila PenniVeppllmtionbemmas mR8witl0noAweWwraeE wnalrucllonundcommer¢UwltlJa IN
� dq'{mtONravaPtlPa worku wspentlM MaPeriPCN IOb rMys. '
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 AYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 1L08.42)
1 uJs'7I�T—.
Sign 0 E
DEPARTMENTAL REVDZW APPROVED DATE DEN® DATE TAGSINOTISWCONDUNDNS
BUILDING DEPARTMENT
PLANNING DEPARTMFM
FINE MARSHAL
PUBLICHEALTH
• \f § \ d�y�a� . _ _ : /
I
- -
�� �
/| @| m �
.
g aE n
\
- �k , < %T .
§\ .
\
�