1976, 11-24 Permit: F0284 Plumbing Fixtures(Form 905—Bldg. Code)
Plumbing Inspection Division
SPOKANE COUNTY BUILDING CODES DEPARTMENT
811 N. Jefferson, Spokane, Washington
PERMIT FOR PLUMBING INSTALLATION,
ALTERATION AND OR REPAIR
Property Address
No.F0284
BJLIVAR, S. 2107
Permit for PLUMBING INSTALL&TI'N
(Res.
(Com.
Owner PAULA. MIS Address RT ..., 18.119y*or.1s.99036 Phone 4a-92.79
Contractor PKSCI3I1 PLUMBIhi Z Address
NUMBER & TYPE OF FIXTURES: Water Closets 2
P.u.BdX 14094, upp 99214 Phone
926-9965
Bath Tubs 1 Sinks 1 Slop Sinks Wash Basins 2
Laundry Trays Urinals Separate Shower Baths 1 Rain Leaders Garbage Disposal Units
Floor Drains 1 Fountains Bar Connections Dental Cuspidor Automatic Washing Machines 1
Mechanical Dishwasher _1 Refrigerators Sumps Water Softeners Hot Water Tanks.__1
Sprinkler System
Fee Paid $ 25.00
Date Issued 11/24/76
vw J
Inspection Called.C67) /4/°2/7, f�,y
Inspected By & Date
Authorized by Building Official
PLUMBING INSPECTION DIVISION
Inspector
(Final)