HomeMy WebLinkAboutBLD77-4723 - BLD Permit / Conditions - 5/14/1977 Grasvik, Robert N. -4_77
Lake Cushman Div. 10 Lot
PLUMBING PERMIT ISSUED ONLY
Existing Cabin
MASnN COkINTY PIANNIN ' nFPAPTM;FPAT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL. items Mark boxe where apPlica le.
Zip code Tel.No..
Name MaNngaridress— Number,street,city,and State
Owner
7 a-Al
2.
Contractor
and State of Washi4gton
The owner of this building and the undersigned agree to contorm to all applicable laws Of Mw3on County
Application date
Signa of pplicant AddPss
LEG ESCRIPT111
Location o
Of
Building
PLUMBING FIXTURES FEE lid e te 1e,
NO. 'ex
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
&-t
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING
LAUNDRY TRAYS
Connect to City Sewer
WATER CLOSETS
BASINS B S' S
BATH TUBS !C)
SHOWERS
WATER HEATERS
AUTO WASHERS
SINKS
NKS
FLOOR
DRAINS
NS
LAU N DRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
tll 4)
1r Le
(Sho%A Street Names
& Property Lines)
INDICATE LOCATION OF MAIN jUTOFF_VALVE FOR WATgR
SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR-SUBMIT
PERMIT ON OTHER SKETCH. 1
e 11fe-h AlOr
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
— __-- I) Receipt No.
Appf,fkved by Permit fee Date pe I issu 7 117,;2-3
4�$`kg�``&.fk7' k s A
MESSAGE DATE 5/ 3 Z 77 REPLY DATE
TO
Robert N. Grasvik
2017 S.W. 162 Court
Seattle, Washington 95166
Dear Mr. Grasvik:MOP _..
We have received your,plumbing permit applica-
tion, but will be unable to issue it until we receive
more information. I have been unable to locate a
building permit in your name. Is this an existing
cabin? has the Health Department approved a septic
system for this property, if so, when and in what
name?
SIGNED .
SIGNED
Redif?rm® 4S 47� SEND PARTS I AND 3 WITH CARBON INTACT-PART 3 WILL BE RETQIRNED WITH REPLY.
Poly Pak(50 sets)4P473
DETACH AND FILE FOR FOLLOW-UP