HomeMy WebLinkAboutBLD8307 Plumbing - BLD Application - 8/11/1975 MASON COUNTY PLANNING DEPARTMENT
P. 0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT —Complete ALL items. Mark boxes where applicable.
1. LE L DESCRIPTION
Location i
Of N s N 5 — --- ---
Building
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 EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS EACH 60 TO 120 MBTU
BATH TUBS ��� EACH 120 TO 200 MBT
SHOWERS .OLD EACH 200 TO 500 MBT
WATER HEATERS - .5O EACH OVER 500 MBTU
AUTO. WASHERS
SINKS �r s7 0 /
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)
.Sd
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
Zw--s FYG GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
PERMIT PERMIT
FIELD INSPECTION
Date By Remarks
Name Mailing address — Number, street, city, and State Zip code Tel. No.
Owner — 3 6 -_ 4 -31
2. ---- p 6cx L� Ltd C i f cJ
Contractor
The owner of this building and the ugwoersigned agree to conform to all applicable laws of.Mison County
Signatuieof applicant ddresss — Application date
CJ, JA
/0
NOT WRITE IN THIS SPACE — FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.