HomeMy WebLinkAboutBLD1969 - BLD Application - 6/11/1975 � 1
MASON COUNTY PLANNING DEPARTMENT
P. 0. Box 400 Shelton, Washington 98584 /^�
PLUMBING PERMIT APPLICATION
IMPORTANT —Complete ALL items. Mark boxes where applicable.
I, LEGAL DESCRIPTION /
Location F J ec rii�a IA l7 /L 10*7s'f -----y--
Of N S
N S
Building
E W side of _ feet E W from intersection of
Sect. T Wp. Range
NO. PLUMBING FIXTURES FEE NO. GAS APPLIANCES FEE GAS D PLUMBING
WATER CLOSETS ,.3D EACH UNDER 60 MBTU SEWER SEPTIC TANK
B_A_SINS _ T,J U EACH 60 TO 120 MBTU
BATH TUBS ,� EACH 120 TO 200 MBTU
SHOWERS_ EACH 200 TO 500 MBTU
WATER HEATERS ,.�0 EACH OVER 500 MBTU
AUTO. WASHERS `
SINKS �r J
FLOOR DRAINS
r��a
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION �rn�
/ DISH WASHER A150
/ DISPOSAL
URINAL `7 d/i1
Distribution System
4'C �l G ,ao 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.
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FIELD INSPECTION
Date By Remarks
Name Mailing address — Number, street, city, and State Zip code Tel. No.
Owner
ContractoroX V'�a/ &&v—
The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County T
Signature of applicant Address Hpplication date
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
proved by Permit fee Date permit issued Permit number Receipt No. q