HomeMy WebLinkAboutPlumbing - BLD Application - 8/10/1977 MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton, Washington 98684
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mallingaddress—Number,street,city,and State Zip code Tel.No.
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Owner n !
2. � 9 Z c
Contractor
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 Address Application date
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LEGAL DESCR /TION ,Q
Location S �' � ' T ` \ 3 '`�
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS C
BATH TUBS 0 8
SHOWERS , a-v
WATER HEATERS -�
AUTO.WASHERS
SINKS 6-0
1
I FLOOR DRAINS D�
i DRINKING FOUNTAINS
LAUNDRY TRAYS ^ P
Connect to City Sewer
DISH WASHER p 0
i
DISPOSAL L L
URINAL
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(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT p II SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
— --- - DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
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