Loading...
HomeMy WebLinkAboutBLD2024-01479 - BLD CD Environmental Health Review - 12/16/2024 Permit No: By0�o7/a=0 9 MASON COUNTY COMMUNITY DEVELOPMENT RECEIVED PermltAsalsunce Center,Bullalaq,Nemenr „ BUILDING PERMIT APPLICATION DEC B ?O[" PROPERTYOWNER 7NFORMATI N: CONTRACTOR DiFORMA11071kW Adder St t J NAME: Yle� In NAME: yryYYICOWv(BY`� Q MAILDIG ADD a0 MAE.7NG ADDRESS: CITY: P 0.l.STATE. ZIP: CITY: STATE: ZIP: 4 PHONE#1: _� PHONE: CP1d-: Lu = PHONEiY1: -O P EMAIL: F— EM LIL. O Q I v I L&I REG# IDS._/ / z Q PRN c NTA oWmms fpxTTUCI'OR❑ ,oTHIE O AlT9oa MO LLI NMAMj1j iNC A�/DpRCS d OX C�—a'RIL s SIA _ZIP 3 1� --_ ri7i - PARCELINFORMATION: -ate Z PARCEL NUMBER(12 Digit Numha) V -1 "��I ;/ ZONDIG FIR LEGALDDSCRIRHON(AMrai r, U 1 y O SDI'I'9S�TRE DISDUCT 1 ^ WEADDRESS E "Ice(A•a. r CITY 1,501 Y1- O`I DllIECDONS'IO SITE ADDRESS br- IJis ✓- F IS THE m PYWPIIDNSm FT FOL (alr FT OFS (S)GRR � T / .Wy):RAN 1 MO NO SNOWLO : CICj� ��Q�S SALTWATER❑ LAKEO, RWER/CREEK❑ FOND❑ WETLAND❑ SEASONALRUNOFFD STREAM❑ Y� TYPE OF WORK: NEW'o- ADDIDON❑ ALTERATION❑ REPAIR❑ OTHER n USROFSTRUCVURE(Rmdea Qor4a(mweblB Ea) Q'oe'l e*lcC e- ISURE: PRIMARY'% SEASONAL NUMBEROPBEDROOMS�_NUMBER OF BATHROOMS— NOD DESCME WORK SOUARE FOOTAGE:(Pro ISi FLOOR eq.R AID FTAOR 1 I I N.R 3RDFLOOR_N.a BASEMENT ".& DECK N.R COVEREDDECK N.1L STORAGE N.TL OTIDIR_s & GARAGE_N'R AU h d D �❑ cAReoar N.0.AtfaMd D �dwidD MAMMAL RJRED HOME INFORMATION: '6 COPIES OF THE FLOOR PLAN REQUMEW MAIy MODEL YEAR LENGTH WIDTH BEDROOMS SATES SHUAL NUMBER Lip]yIRONMRWMAL HEALTH: �./ SEWAGFJSEWERSOURCE: SEPTIC SEWP.R❑ I NEW❑ EKISTLYOIB PLUMBeVG W STRUCNREI YES NO❑ fJBa.aaaaA raeqfema lPanddaTau/cY\Fom PERRAETER)FOUNDATION DRADEi PROFOSP.D'l YES❑ epSTUIG SQ,IT. EMSTWG BEDROOMS PROPOSED BEDROOMS TDTALBEDROOMS OWtEa acknoWca9es and wdnwm a mavamm l:*wamon may rsun in e sma v ONam Pa^^R mvrm'aa.MaWaaBemam a..k, aigaaNre Cemw.l ocaara met am Ne miner ML IaMareeaare mal am eaNbtlleremM1e Vi lameanemao M.xOfkaS amLmM.lnam ooblaee Prm'sson I,om an ne ner¢.csan paNas ma Wine ear auemeac nmaer or Panieeol ide�ml Rgerairq IF&pnkal Tha axcru leyl repeaemm�re,represen¢Nalmelnlwmanon pmNCW accu2@ant grants emdoyeec alMeson CwMyaw3sbmc above aaxnaea gopeM anlim,muela)Wmwaayanamspnaim_ T Peail Viratimb meswilavaeewMmaummmmnsw mmndwmercmw nteo yryp prl¢mWc4n xaMcsuspeneea laapeMac(iW aeK. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATK111 OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE F](PIRED.(MASON COUNTY CODE 16.0.I3) natureM (M M mtl by Me WMM DMa DLRARTMEMfAL W APPROVED DATE DENTRD DATE . TA(SINOTESCONDI'FIONS BUHDWG DEPARTMENT PLANN[NGDEPARTMENT FIRE MARSHAL PUBLIC HEALTH I • . < {. ! � 2 , ; } / ) 0x ui \ k © |)!® E » / ) z0 ! \ / � ? \ ^ ! 2 S / « ; $\ !a 3 & ! 2 - � \( 3 ; 1- R \\ ) \ ! � \j" \ % , 0 | a • ! 6 b ZS ~^ q z ! l: w !! # . w --- - ) a » 0 ) ;