HomeMy WebLinkAboutBLD9671 Plumbing - BLD Application - 3/29/1978 MASON COUNTY Pt_&NmoNr, nF.PORTM CMT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,street,city,and State Zip code Tel.No.
Owner
Contractor 61
The owner of this building and the undersigned agree to conform to all applicable laws of Macron County and State of Washington
Signature of applicant Address Application date
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
3 WATER CLOSETS
BASINS ,
BATH TUBS
SHOWERS p v
WATER HEATERS p�
AUTO.WASHERS
SINKS
FLOOR DRAINS O-d
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
' URINALCpK
!w
(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 OFFICE USE
App ved by Permit fee Date pemit Issued Permit number Receipt No.