HomeMy WebLinkAboutPlumbing - BLD Application - 6/26/1975 ' r A it/-:�'o/Cl� 7Yi9 2 O L 6 E,
1
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 f _
Location a N`f r 9 or E2 7,. O
Of N S N S
Building
E W side of feet E W from intersection of
�i
Sect. �v Twp. � f Range
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS PLUMBING ❑
_ WATER CLOSETS ,SlJ EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS 4 Sb EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBTU
SHOWERS EACH 200 TO 500 MBT
WATER HEATERS 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
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
PERMIT S� PERMIT
FIELD INSPECTION
Date By Remarks
_ Name Mailing address — Number, street, city, and State Zip code Tel. No.
Owner t�p "3• r� —
/�sv .
2.
Contractor —
The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County
Signature f applicant Address Application date
_ DO NOT WRITE IN THIS SPACE _— FOR OFFICE USE
Approved bye� Permit fee Date permit issued Permit number Receipt No.