HomeMy WebLinkAboutCOM2025-00013 - COM CD Environmental Health Review - 3/12/2025 MASON COUNTY Permit N9:49,,��
COMMUNITY DEVELOPMENT FEB 2 0 2025
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACfOR INFORMATION•
NAME:WBOnNNbn CanepWlm Cmlx NAME:MONO M UIBr
MAH.[NG ADDRESS:T 1 .Deymlk A17:p- MAILING ADDRESS:egSVwBmm Aw SE
CITy;auam STATE:T1'A ZIP:SeSe CD'Y:vwnc STATE:WA ZIP:Mga
PHONE µI:P"ImAlaa PHONE-MM)NO-WIS CELL:9e0 sm
PHONE H2: BMAIL,"--CraxkyBM°M°n'°mw°'"
EMAIL.: L&I REG µMMILMMIBSDW R". /__
PRIMARY CONTACTI OWNERD ODNTRACroRB Orming
NB ITaW gNA1L MYsmWMpN1PMBJYemm
MALINGADDRESS eeeVYimlls Aw BE pTY Puma STAIR WA EIPrm1�
PRONEVW)I lB AIL ae0.rmwr/1
PARCEL INFORMATION•
PARCEL NUMBFR(t3 Di®t Nulvba) 420090060000 ZONING CanmeraaVResidwbal
LEGAL DESCRIPTION(Abbe Waf) NDRE SECTION EX N OF RAN E12 SE NE PM DISTRICT West Meson Fire D SUI01
SITE ADDRESS SW SW AE12 E12 CITY rtR ton WA WS
DIt1B(:ITONS l0 SITE AD➢REAR Enter thre h seMoe gale,enter InW sewred area,the building is less Nen
W.on your ie.
BpROpPRTYWITH NFI'OFTHB MS)GMG:nICRVUN14%; YESO NOB MOWLOAD•1O0
SALTWATER❑ LAKBO RIVRR/CRBEKO POND❑ WETLAND❑ SEASONALRUNOFF❑ FFB�J 201r/'
TYPE OF WORK: NEW❑ ADMTON❑ ALTERATICN IJ REPAIR❑ OTHER gMpduler �1'BCF�V�O
IISE oP RI'RucTUAe BraAroa.amn.ca=Ius�.1
%USE: PRIMARYB SEASONAL❑ NUMBER OF BEDROOMS__NUMBEROFBATHROOMI3
HEATED STRUCTURE4 YR4(mAYeE4tNB YFs nbMaeW o ME]
DESCRIBE WORK D K�'
Ra 1 )T ACE:brow
IST FLOOR2aH0 q.R 2NUFLOOR_q.fl. 3RD PLOOA_q.R BASEMENI'_q.R
i)ECIC q.R COVPREGOECK_q.& STORAOk+ q.R OTHER,_ q.A.
OARAOB_q.ft. Avrckorl❑ nw,rA ❑ CARPORT N.RAuaelua[] DAhu"O
MANTIFACT RED HOME DNFORMATION: ad COPIES OF THE FLOOR PLAN REQUIRED'
MAKENOOMvesIBUIIMgSyB MODELCIw - VRARgDPA LENGTNBO
BEDROOMS BATHES SERIM,"UMBER
RNVIRONMRNTAL HEALTH:
SEWAORISEWERSOURCE: SPPTICQ S .y / NEW EKISI'INOB
PLUMDINO IN STRUCTURE? YES Q NO D tf)w.aaaaA eamplu Wale Ada ww Form
poluME-TElUFOUNDATION DRAINS PROPOSED! YES❑ NOB BXISTM(In r.
MISTING BEDROOMS U MOPOSECBBDROGMS U TOI'ALBEDROGMSO
eWIFJ{vbpMtlpeslMl BtmmWn dYieucvele blmmstn lreY ro%�Hlnemryx ltwfmmPBmYk�emcnWn.P�AwrAeEgemMMsud bFry
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mye or 1¢nptructicn yolk k ampeMN ftt B paME IX t QO LLaye.
PROOF Of CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVHY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASCH
COUNTY CODE 14.08A2)
K SHsan.E. !s(1Am 1282025
81glmWroeIOWNERI b M abv ebe ONMERI Do,
DEPARTMENTAI,"I'MY APPROVRD DATE DKN® DATE TAG&HOTE&CON➢ITIONS
BUILDING DEPAZWENl'
PLANNINGDEPARTMENT
FIRE MARSHAL
PUBLICDEALTH
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