HomeMy WebLinkAboutBLD5899 Plumbing - BLD Application - 9/8/1977 MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
Owner
�, o
Contractor J^�! ll-'/� ZZ
The owner of this building an the undersigned agree to conform o all applicable laws of Mason County and State of Washington
gnature o ap icant Address Applic Lion d e
LEGAL DESCRIPTION
Location
f B
uilding l--
NO. PLUMBING FIXTURES 4 FEE
WATER CLOSETS £G
BASINS
BATH TUBS
SHOWERSe"C
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17
WATER HEATERS
v—d
AUTO.WASHERS
SINKS �d
FLOOR DRAINS —
DRINKING FOUNTAINS —
LAUNDRY TRAYS J ,�—C)
Connect to City Sewer
i
DISH WASHER 2
DISPOSAL ----� —
URINAL
I
I
I
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
A proved b,,, Permit fee Date pemit issued Permit number Receipt NO.
$ .�,/L5