HomeMy WebLinkAboutBLD4587 Plumbing - BLD Application - 4/11/1976 •
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddreas—Number,street,city,and Stale zip code Tel.No.
Owner 5
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
ZI
Signatp Address j Application date
LEGAL DESCRIPTION
Location
Of t L
Building L t_ N t- /�-� 4J 3 1 - Z G 3
NO, PLUMBING FIXTURES FEE
WATER CLOSETS t^
Z BASINS < < n
BATH TUBS C Q
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS �.
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
st c Iam rf- Fer' 3za
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT Or SKETCH IN SEPTIC TANK 6 DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
roved by PertlDate pemit issued Permit number Receipt No.
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