HomeMy WebLinkAboutBLD9030 Plumbing - BLD Application - 3/23/1976 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 D SC TIi�V G
LocationSr
` /_44
Of AX 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 .0-0 EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS EACH 60 TO 120 MBTU
BATH TUBS EACH 120 TO 200 MBT
SHOWERS EACH 200 TO 500 MBT
WATER HEATERS •Bv EACH OVER 500 MBTU
AUTO. WASHERS V
SINKS
FLOOR DRAINS elm
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION
DISH WASHER
DISPOSAL
/ URINAL
` ♦f>7 0
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
PERMIT PERMIT
FIELD LOCATION OR SUBMIT ON OTHER SKETCH.
-5
FIELD INSPECTION
Date y `� By (��/—..� - Remarks
Ae'j"oZ' 6 64 yy?!�gZ'5c4—
Name Mailing address — Number, street, city, and State Zip code Tel. No.
70
Owner
Contractor �" /- ( �-'= — cs'
The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County
Signature f ap licant /Q�Address Application date
ss ��, I 3
DO NOT WRITE IN THIS SPACE --FOR OFFICE USE _
iapproved by Permit fee Date permit issued Permit number Receipt No.