HomeMy WebLinkAboutBLD4330 Plumbing - BLD Application - 2/17/1977 MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton, Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name Mailingaddress—Number,s!reet city,and State Zip code Tel.No.
Xf FIL-I I3ey J 4 nc
Owner
2.
Contractor `
The owner of this building and the undersigned agree to conform to all applicable laws of M:.tson County and State of Washington
Signature of applicant Add I �\\ J"`/f O/ Application date
,�r� - i- `7'I
LEGAL DiESCRIPTION
Location
.Sovth
—Of �4 o N 3 Ir
Building s _
NO. PLUMBING FIXTURES gEE
WATER CLOSETS 'BASINSBATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS a-0
SINKS ! �y
FLOOR DRAINS
DRINKING FOUNTAINS
i
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER t-U
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
Approyj by Permit fee Date pemit issued Permit number Receipt No.
/�FZ $ 7 7a �d
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