HomeMy WebLinkAboutBLD1968 - BLD Application - 6/11/1975 MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT —Complete ALL items. Mark boxes where applicable.
1. LEGAL DESCRIPTION
LocationSee- 441
Of
N S N S
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 ��r� EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS C�d EACH 60 TO 120 MBTU
BATH TUBS _ ,�� EACH 120 TO 200 MBTU
J SHOWERS EACH 200 TO 500 MBTU
/ WATER HEATERS ���� EACH OVER 500 MBTU
AUTO. WASHERS
SINKS ,50 /W'jter SING'
FLOOR DRAINS
DRINKING FOUNTAINS Ilff"
LAUNDRY TRAYS �.� - Ile 110
'
Connect to City Sewer SERVICE CONNECTION
/ DISH WASHER
/ DISPOSAL �Q
URINAL
•1
-- ICY,
/ 5d
Distribution System
11.si zr- C' d By Special Permit
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR
GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN
PERMIT PERMIT
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
'�
FIELD INSPECTION
Date By Remarks
Name Mailing address — Number, street, city, and State Zip code Tel. No.
C. 1/tyy .fie s�..� . 03 a .f�� J=l!yo
Owner
Contractor — r
The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County
Signature of applicant Address Application date
_ DO NOT WRITE IN THIS SPACE _— FOR OFFICE USE _
Approved by Permit fee Date permit issued Permit number Receipt No.
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