HomeMy WebLinkAboutBLD14002 Plumbing - BLD Application - 5/19/1983 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.
C� o �> i r It 9852� 37S-3i
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 r of applicant f, Address Applicat' n date
LE L DESCRIPTIONS _3
Location ,
Of
Building //
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
i
BASINS
BATH TUBS
F-- ----
SHOWERS
WATER HEATERS
AUTO.WASHERS
.2 SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
r
DISPOSAL
URINAL (Show Street Names 8 Property Lines)
NDIC LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT CH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
ON OT KETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
proved by Permit fee Date pemit issued Permit number Receipt No.