HomeMy WebLinkAboutBLD7836 Plumbing - BLD Application - 10/10/1977 MASON COUNTY PLANNING DEPARTMENT
P.0. Box 400 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT—Complete ALL items. Mark boxes where applicable.
LEGAL_DESdOtIPTION
Location _ L
Of NS I N S
Building
E W side of feet E W from intersection of
Sect. Twp. Range
NO. PLUMBING FIXTURES rENO. GAS APPLIANCES FEE GAS PLUMBING
WATER CLOSETS 2 EACH UNDER 60 MBTU SEWER SEPTIC TANK
BASINS EACH 60 TO 120 MBTU
BATH TUBS 12 EACH 120 TO 200 MBTU
SHOWERS ,�. EACH 200 TO 500 MBTU
WATER HEATERS vT EACH OVER 500 MBTU
AUTO. WASHERS ;P.U'^0- / -T' M
SINKS y,VV ;2 io
ResFLOOR DRAINS (�� lijC�+l
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer SERVICE CONNECTION
DISH WASHER (�
DISPOSAL
URINAL
U.a
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.
FIELD INSPECTION
Date By Remarks
Name Mailing address — Number, street, city, and State Zip code Tel. No.
1.Owner Cd
2.
Contractor —
The owner of this building and the undersigned agree to conform to all applicable laws of.Mason County
Signature plica Address Application date
Pof o id-
77
_ DO NOT WRITE IN THIS SPACE _— FOR OFFICE USE _
Appr ed by / Permit fee r
e permit issued Permit number Receipt No.