HomeMy WebLinkAboutBLD13598 Pumbing - BLD Application - 3/4/1983 r
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
r Cout TE R CR RD Beva i �7SWOI
Owner
2. L
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant r I Address Application date
S
EGAL DESCRIPTION 13
Location
Of
Building ii; 1 S
NO. PLUMBING FIXTURES FEE I
WATER CLOSETS C()
P. BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS ! fJ
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
i
DISH WASHER
DISPOSAL
URINAL
(Show Street Names & Property Lines)
JU
— - ---- --- —--- — INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.