HomeMy WebLinkAboutBLD7783 Final Plumbing - BLD Permit / Conditions - 11/17/1977 ' MASON COUNTY PLANNING°DEPARTMENT
P.O.BOX 186 Shelton,'Washington 96W
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items.Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
,. Tavnrnk S. MaiumdStav--Rootte.LP oX go-3 $re ne r+on. q n t b g.15-523
Owner
2. Tom S �atsum Star-Rogf -WA 9231 G 7-1s-Sz3
Contractor
I I r-:--
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant p Address Application date
`d 197
GAL DES RIPTION
Location p�
Of
9z
Building '
lM
NO.. PLUMBING FIXTURES FEE
WATER CLOSETS too
BASINS O
BATH TUBS O
SHOWERS
WATER HEATERS 0
►
AUTO.WASHERS d
SINKS
i
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer j
DISH WASHER
.0
DISPOSAL
URINAL
_ (Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK 3 DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Appr by Permit fee Date pemit issued Permit number Reoelpt No.
1 48400to, Tomy S. N7783
►r
10-28-77
1 Tiger Lake Terrace Tracts, Lot 7
PlumbingPermit ssued.
i
i
i
i
' r �
I
` ' �
V
\V
v
I