HomeMy WebLinkAboutBLD9915 Plumbing - BLD Application - 6/22/1982 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.
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signs of applicant q % Address �0 , ��, �[�j Application date
4 CY Gwtt• t�j2\Tra:Y A. C1�6�of S
OF LEGAL DESCRIPTION`
Location W
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS 4. 0 D
BATH TUBS d.Oa it
SHOWERS Ob
WATER HEATERS 0,L1
AUTO.WASHERS
SINKS
FLOOR DRAINS `\
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER S C CFTC�f
DISPOSAL O 1
URINAL
i
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT rO� SKETCH IN SEPTIC TANK 3 DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by r Permit fee Date pemit Issued Permit number Receipt No.