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BLD79-4370 - BLD Permit / Conditions - 3/28/1979
Clevenger, David L. #4370 3-28-79 Lot 6 Parkwood SW Corner of lot Off Spring Road to Island Lake cut-off House is at end of second cul-de-sac to the left. House is green and white. Plumbing is in shop, This is only a plumbing permit. Estimated that what little work to close in bathroom and partial wall would be questionable as to building valuation. No building permit needed. �: � v �: 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,stree',icily,and State Zip code Tel.No. Owner 2. Contractor The owner of this building and the undersigned agree to conform to all applicable laws of Mason County a d State of Washington Sig lure�ofapica /lam Address f Application date Location LEGAL DESCRIPTIONII Lc7i Of 5©V tv E:b A Building /h a/Ala ,8 u. NO. PLUMBING FIXTURES FEE WATER CLOSETS v I v BASINS BATH TUBS SHOWERS WATER HEATERS AUTO.WASHERS SINKS /�d i FLOOR DRAINS DRINKING FOUNTAINS �y LAUNDRY TRAYS Connect to City Sewer DISH WASHER DISPOSAL URINAL ISnND 1K. /2i✓-e — (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 O OFFICE USE A proved by Permit fee Date pemit ',ssued Permit number Receipt No. c i n �n __1