HomeMy WebLinkAboutBLD7858 Plumbing - BLD Application - 11/17/1977 MASON COUNTY PLANNING DFPAP.TMFNT
P.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
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signat f applica Address Applicatlon date
LCIfGAL DESCRIPTION
Location �-7Y/ —
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS p
BASINS Q O
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS e O
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
a00
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT OO SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by �a Permit fee Date pemit issued Permit number Receipt No.