HomeMy WebLinkAboutBLD7813 Plumbing - BLD Application - 11/7/1977 MASON COUNTY P4_ANNiNG nFPA.RTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT — Complete ALL items. Mark boxes where applicable.
Name M�ailing�address—Number,street.city,and State Zip code Tel.No.
ov
In
Owner `?
2. �an U t 3
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant „,^ Add re Application dat
L GAL DESCRIPTION /1
Location
- /�L� C ,
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS 0
BASINS
BATH TUBS i t
SHOWERS G0
WATER HEATERS f
AUTO.WASHERS E
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
(Show Street Names 8 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
Approved by Permit fee Date pemit issued Permit number Receipt No.