HomeMy WebLinkAboutPlumbing - BLD Application - 2/25/1976 MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT —Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCRIPTION
Location L o G i - U N /•T 4 - /3 L c H E ft oev Co- j o O/h 5
Of Building N s �E�bQ.D� �`+ ✓p t-4/n!�' 9
E W side of feet E W from intersection of
Sect. Twp. Range
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS Sv EACH UNDER 60 MBTU SEWER SEPTIC TANK
I'
BASINS, EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBTU
SHOWERS EACH 200 TO 500 MBTU
WATER HEATERS MOVC) I �� EACH OVER 500 MBTU
AUTO. WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION
DISH WASHER
DISPOSAL
URINAL
Distribution System
By Special Permit
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
PERMIT
0d� PERMIT FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
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-r-o-rA IL 4 co
FIELD INSPECTION
Date By Remarks
Name j� Mailing address —^�Number, street, city, and State r Zip
code / Tel. No.
1.
Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of.McSOn County
Signature of applicanj Address Application date
Z > SEMI 7-7-1Z/2 z / 6
DO NOT WRITE IN THIS SPACE_— FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.