HomeMy WebLinkAboutBLD5345 Plumbing - BLD Application - 6/9/1977 MAS ,N COUNTY PLANNING DEPARTMENT
D.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
t�l2. . hkw
Contractor ' u
The owner of this building and the undersigned agree to conf to all ap cable laws of Mason County State of Washington
Signatyre of applicant Address Application date
77
LEG/A�L!DESCRIPT16
Location '" / S /
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS .y
BATH TUBS U v
SHOWERS
WATER HEATERS
AUTO.WASHERS Uv
/ SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER U v
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT �(J v SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
�3e/
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
d—W " 6