1977, 11-30 Permit: F4058 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
No.F4058
Property Address 3010iSH,.._S.___3527
Permit for -_PL 21,3J3kG--it &TALLATIa
(Res.- )
(Com... )
Owner RICHARD. _R IN ..C.CUSTRUCTICN Address P..0..Xli---1 74 C-V._.�.�21,1,--_.Phone 92l—.55688i
T+Si ll ;i rn n� eT 92-9042
Contractor �.>}_..�..___�.�, _ F,j�,,.a.,�:�a,--_Ix^iC_. Address_...�.....1.7.�i7
-----k-��s-- z'� Phone
NUMBER & TYPE OF FIXTURES: Water Closets 1 Bath Tubs 1 Sinks 1._-. Slop Sinks Wash Basins .2
Laundry Trays Urinals Separate Shower Baths 3.. Rain Leaders Garbage Disposal Units
Floor Drains_.. 1 Fountains Bar Connections Dental Cuspidor Automatic Washing Machines -_1
Mechanical Dishwasher-_ . Refrigerators Sumps Water Softeners Hot Water Tanks.._1
Sprinkler System
Fee Paid $ 29,00
Date Issued 1/0177
vw
Inspection Called
/)-2/— 7
Inspected By & Date
Authorized by Building Official
PLUMBING INSPECTION DIVISION
By ,flits
Inspector
D PUTY
Test) (Final)