HomeMy WebLinkAboutBLD7173 Plumbing - BLD Permit / Conditions - 8/18/1980 Loebsack, Collen #7173
8-18-80
t. Rt. 1 Box 57 - Belfair
Sand B.-reller's Home & Garden Tracts - Tr. 33
PLUMBING ONLY
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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.
Owner
2. Z X. 'All - - Ir
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Si nature of appl.14nt Adores Adoresp Application date
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3 �9
3 - '
Location
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Of �'
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS —
BASINS
/ BATH TUBS
SHOWERS
WATER HEATERS
/ AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER i
DISPOSAL
URINAL
(Show Street Names & Property Lines)
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
vroved lby Permit fee C1 Date pemit Issued Permit number Receipt No.