HomeMy WebLinkAboutBLD2025-00191 - BLD CD Environmental Health Review - 3/12/2025 i
_ MASON COUNTY COMMUNITY SERVICES PmdtNo:$(_07D7.C,-OU)
PERMRASSISTANCECENTER; -\ RECENtD
PERkUTASSISANCECENrEN.iH.FIRE ANFSWLL V
615 W.AVbr50etlSIaAwS WA96S9{
FEB 18 2025
ee?W.(J&gzlSH6'!•PMe ENa'(]6gI82.4�
BUILDING PERMIT APPLICATION
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PROPERTYOWNER INFORMAjTION,nr CONTRACTORINFORMATION:
NAME M11AF I{IVFL`I NAM&
MAH.MGADDRESS: IO E. WCr MAII.INGADDRESS:
CITY:SMELT STATE:]pL 4 COY: STATE ZIP:_
PHONE#I: 257,. �je-1 4-1-1 PHONE: BMAD.:EMAII.:MIRE. .l41ye)Vne MI IAA REGF EXP.
PRIMARY CONTACT: ❑ mHrnAcron❑ DTlmlt❑
MA6DIGADOAHSE COY STATE Z@
PRONE CEU,
PARCEL.INFORMATION: CIC/`�O lS
PARC cNUMBER(UM&NLm .)
T PGet DESCRETiCN(Abb.W4 FDtE DLlTRICf
SITHADDx S /D E. LIAVAA CT. CITY .SNI.aLTDAI
DTRBCITONSi05OHADDRHS3 Leea.I l_ 11AY PLC.
IS TaE PROTEGE Wf[H4�i300 Fl OE SLOPE(S)GBEATSBTHAN I{X: YESO NOD SNOWW"%_—,e
DS PROPB.R'l D IAXI2E0F WERACRBOLLOWOND pstaen+gyry):
sALTwwxm❑ r•RPp RrvmDRE>�s❑ Porn❑ wsrrArm❑ sedsorucaDNOFP❑ sTaaAMp
7.TfPR OF WORK NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHERn
USB OP SRNCfiRtE(xuumee Ovga eom.vadel4<bt)
LSUSE PRHdA 2- A D NUrA3PA OR HBfiRO0M5 2 NUMBEAOFHATEROCNIS 2
RHATRD S1RIJCI[IRH] YES(6xYIDtd YES PbYd ara4U❑ ' NOD
DPSCItIDEWORX N R
SOUARE FOOTAGE:a..,4
ISTPWCA_LZ�4q.8 2NDPWOR e & 3RD FLDOR q.B. HASHb�Nf ay8
D= q.& 8 STORAGE q.8 OTHER_'L
OARAGH q.8 A0v D Deme D CARPORT q.R.Am D De D
MANUFACTORFD HOME HVFORMATTON: e4COPIESOFTHEFLOORPLANMUHREDA
MARE MODEL YBAR LHNQTH
HPDROOM3 HA1ffi NUMBER
ENVIItONAs& IRRALTH:
SEWAG SEWERSO*mrv' SEPTwEr' El / NEW❑ HXLSPING�
PIDMBDiGINSERUGTUREr YBSJ;�-.. NOD fjy®.m Amnip(md Wmoddeq�uryPorm
PHUMER4/PODrIDATR1N DRAA9 PROP05®1 YH4❑ MD EILu=Gsom
E#STDSGBEDROOMS_� PAOPOSEDHEDRDDMS_1aY__ 1'OTALBEOROOMS�
OWNE32 sbalelps Nlabn'oumarmamvW InNm�mey�u@F eabP W�raa/apmi mmMn.AtlanNe3�emeMRfeAYtry
elpmmm MJwt laetlaetlullun Vw wnw arq lNNwaeaWatlu[I mn sroNW brtxNemb pmn0.artl meomewof2m popmeE.I Me _
oWinW Wm'isinfirmee Me attmmNPeNm.mdu®n9e^Yemamvrt M1tltivmPa'4m tlLaa��aetlig tltls PmbQ TM1e avmvmle5al
�ap¢enmh'e.rtpese�ea Ntl Ne hRoimeLLm pwitlm Ya Ae entl9Mb mlVl%em NMasonfnmlya�ssmNe eiwe aewlhal P�aPe+�Y
w ewama(a)mrrene.am M1aPemati mYPemwaawlmhonh�amn,cldwaewan e:aw�.e mn�mongem�aaenmarn}m lea
area Icaumimw xakY a„aPenaea ro•.Penm tlrw Bays
PROOF OF CONTINUATION OF WORK ON TNIS PERMU IS BY MEANS OF INSPECTION. WACTN rY OF MB
P PUCATIO! 0 DAYS OF MORE WLL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 1<.OE.@)
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synmum of owN urt besi nea me awwER o.m
.W.,i: -APPEQYI� �>4�T�.: �_DEt!LB.O � .DATE^ .`PdGSINOTE¢/C.QNDI139�'(SS
7I BUIIDINODEPAR'IMBNT
PLANNING DEPARTMBr"[
FIREMARSUAL
PUHLTCHEALTH
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I(�4w) oremli&Wneserve I—
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e 1 Sepik fa�xtel ratuxe.s umrx trem vi kanrgn umaion:
el W murnaapmvenmeter U-na wuem eon,eargreaem of
spat s pf Drapnawnemom area
D)No C.emktst(I.man sn aN wer d aenyeea).0a,
a i son.mx i emaanf of.. anaaerve are.
EH APPROVED
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RRS STANDARD SETBACKS'
Form:2s
Sow:5(ADV2a25-aao10)
Rear: 20'
'unless otherwise stateb on Me site plan
W 'all set ecNs meazuretl from In.farthest
prolaetian of In.l,wIdmg
N 520� 'subject to EH seMacks
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PLN Approved
02/27/2025
Mason County Community Development
Gavin Satan
All Changes Subleet to Approval
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