1970, 08-27 Permit: C1776 Septic TankPlumbing Inspection Division NO. C 1776
SPOKANE COUNTY BUILDING CODES DEPARTMENT
County Court House, Spokane, Washington Property Address
PERMIT FOR PLUMBING INSTALLATION
ALTERATION AND/OR REPAIR Permit for (Com )
Owner Address Phone
Contractor Address Phone
NUMBER & TYPE OF FIXTURES: Water Closets Bath Tubs Sinks Slop Sinks Wash Basins
Laundry Trays Urinals Separate Shower Baths Rain Leaders Garbage Disposal Units
Floor Drains Fountains Bar Connections Dental Cuspidor Automatic Washing Machines
Mechanical Dishwasher Refrigerators Sumps Water Softeners Hot Water Tanks
Sprinkler System
Fee Paid $
Date Issued
Inspection Called 2.I ft/ e�
Inspected By & Date
(Form 905—Bldg. Code -3M-10-68)
(Test)
Authorized by Building Official
PLUMBING INSPECTION DIVISION
By
Inspector
(Final)