HomeMy WebLinkAboutBLD2025-002226 - BLD CD Environmental Health Review - 2/25/2025 r ,
MASON COUNTY PerMltNo:3L25-002;�
COMMUNITY DEVELOPMENT RECEIVED
FEB 2 5 2025
Permit Assistance Center,Building,PlanDIDB
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNF,R INFORMATION: CONTRACTORINF04MATION:
NAME:Cew CNbbmrn NAM
IU E:'"'"•r'd'
MANGADDRFSS:HTi PI�bYPMiR Ik NE MAILINGADDRESS:S,EEFA
Cffy'ss.ftd,I STATE:WA 'QP:MIIE CITY:I— STATE:WA ZAP: 6. rnPHONEMI:sN3eaFIe PHONE:^'^'�" CELL:PHONE«3: EMAR.EMAIL;°°"' LRI REG MYM naSoIARRIMFROf6RP EXP.� OwreRO MUMACrOR0 O El
NAME EMAIL�
MAILINGADDRESS 313E FR CITY T— STATE WA HP
PHONE--- CELL
PARCEL INFORMATION: = IT1
PARCEL NUMBER(II Dip Nw r)=S51 OPIx TDIRNGRas Z
LEGAL DESCRIPTION(AEbwibeE) FIRE DISTRRTR D
SUE ADDRESSM1� WAIM CITYMk^ r
DIRECTIONS TO SITE ADDRESS...u+w,oi.rna r�drrwrForbr�rn.r.:nwrr.rrrnrp.
ISTBEPROIECTWIT M MFTOFSIDPFA3)GREATKRTRANIa%: YESG NOQ SNOWLOAD:_Prr
ESPROPERTYWTEIUM MFTOFTIMPoLIOWING: K�aavrugyy):
SALTWATERG LAKEO RIVFNCREEKD PONDO WEfLANDO SEASONALRUNOFF❑ STRFAMO
TYPE OF WORK: NEW❑ ADDITION O ALTERATION 0 REPAIR G OTHER G
IlSE OF STRUCNRE IR.nMr,.Cueer,(ow.=rratNeF.Fr.)�r•mr«�'°'"'"A'
ISUSE: PMMARYG SEASONALO NUMBEROFBEDROOMSP NUMBER OF HATHROOMSP
FffATED STRUCtURE) YES ryu.adP❑ YESM-1,14wN11 NOG
DESCRIBE WORK"•�"'•°�'
SO AR�OS rwa..dl
ISTFLOOR_q.R SNDFLOOR r l 3RDFLO0R_,(L BASEMENT W.R
COVERED DECK N.R STORAGE .y.R OTHER"" ,& dock
GARAGE__._...R.R AR [] Da [3 CARPORT 1.& AIWIWO Drw1haD
MANUFACTURED HOME INFORMATION: 4 COPIRS OF THE FLOOR PLAN REQUIRED•
MAKE MODEL_ YEAR... IFNGTN
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH: ✓✓✓
SEWAGE/SEWER SOURCE: SEPT SEWER❑ 1 NEWO "ISTMuy
PLUMBMG RJ$TRDCfUREP YESI] FIOG xl r,deoeE eoWFInN Badr Alegrry Fo.W
PERIMETER/FOUNDATION DRAINS PROPOSFDP YES 13 NOG EXISTINGSQ.Fr.
"ISTRIO BEDROOMS a _... PROPOSED BEDROOMS n TOTAL BEDROOMS
ornYBtnbbdeglaFKwpnYrlen dYbdanHY«onnYonmW tiRb•sw.ds da.a w.+�.ruuon.A.boaFJxFmMawAN W
•y�yn Wbb.l OsaYRba1 bn RdwrN I EMRb1�FRd IR�dYRrC b nan.aa PrR W b W OrM a PNSH.I Nw
aYYW Mdobnlan Y M�YPFnIn.M.1i�ryeMnaldara OrrFgerrol ai'R9ua w9^a. Tlraww v bW
ePrYWRNObrRb bgFren.MP�YPF^al'Wpbx>Ib�brW 6�MC wYa4Jn�tr cam�rlionYM•om�rcaCF.uNY,00
NW a YmMUIMwM YwpwNFO bF prbld100an+.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT 13 BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP ICAj{OypF 14P DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EKPIRETL(MASON
l///'(-/lam, COUNTY CODE M.Mwxl
K 2/25/2025
5•tPneNre of owHER IIRW,tb Ybroe E.me owNERI Dab
bEPARTNI U.REVIEW APPROVED DATE DENIED DATE TAGSNOTESCO.NDITIONS"
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FOEMARSHAL
PUBLIC HEALTH I 7M
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