1977, 01-10 Permit: F0545 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. F0545
Property Address Cfli:ARW,-..3,.-.10915
Permit for -..PI: MBING--I'VSTA?,,. ,ATXCid
(Res.XX )
(co.. )
Owner J.D4 ._.. m= Address- tT--# 3,...BoX 13-1 Hayden,.-- Lkl;-.Phone 772-5585
Contractor 7.Z...3. ---a±-'1 `PRISZS,Address ----E 116C7_.Tr tnt.,---9920 r Phone 92#.:5012
NUMBER & TYPE OF FIXTURES: Water Closets 3 Bath Tubs 1 Sinks 1 Slop Sinks Wash Basins .3
Laundry Trays Urinals Separate Shower Baths 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 $ 31.0C
Date Issued 1/10/77
Inspection Called.' l l x.-..7.7
Authorized by Building Official
PLUMBING INSPECTION DIVISION
Inspected By & Date
(Test) (Final)
Inspector