HomeMy WebLinkAboutBLD Sewer Adequacy - 3/1/2022 ELFAIR MASON COUNTY Mason County
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APPLICATION FOR SEWED CONSTRUCTION
Date I � Parcel #
Site address
Owner name �M
Ratepayer name
Billing address �kCn5 Q-Aj 8 ,Jr• TLC �� COV1 �'l4VYr�^
...............
Commercial properties:
How many business tenants occupy your property?
Please list business(es) names (use back if necessary):
Are any of the businesses the following types of uses (please check all that apply):
_Restaurant_Hotal—Laundromat_Grocery ry`A'
How many tenants share plumbing facilities(bathrooms and/or kitchens)?�_ � .�142)
How many buildings are on your prope (only count buildings that have plumbing facilities and are n
required to connect to the sewer)? l�'�L��
Mixed use (commercial & residential)properties: �f
How many commercial units are on your property? X/
How many residential units are on your property? VN\Aex' 9 log Nin -
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Residential properties:Is your property single-family or multi-family? Wjw% IV-Qlh If multi-family, how many units?-W-
Do you have an accessory dwelling unit(ADU)on your property?
If yes, does the ADU have its own plumbing fixtures(kitchen and bathroom)?
If yes, is the ADU less than 400 square feet(about the size of a two car garage)?
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I agree to the terms and conditions of the Mason County Codes and/or Resolutions. (Copy
available upon request)
Signature: Date: 3 I I22
A COPY OF CONSTRUCTIO ITE PLAN MUST ACCOMPANY THIS APPLICATION. SUBMIT
APPLICATION AND PAYMENTS TO THE ADDRESS AT TOP OF PAGE.