HomeMy WebLinkAboutBLD2063 Plumbing - BLD Application - 6/8/1979 ► 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.
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Owner
2.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sign ture of applicant Address Application date
LEGAL ESCRIPTIQN �- r
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS t
BASINS I a
BATH TUBS
SHOWERS
G ' r-
WATER HEATERS
AUTO.WASHERS
SINKS �*{
FLOOR DRAINS ,
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
'-jI _
DISH WASHER
DISPOSAL
a
URINAL ac
(Show Street Names 3 P operty Lines)
— INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT S- C' SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
ed by Permit fee Date pemit issued Permit number Receipt No.
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