1969, 12-01 Permit: C0621 Plumbing FixturesPlumbing Inspection Division NO. C 0621
SPOKANE COUNTY BUILDING CODES DEPARTMENT
County Court House, Spokane, Washington Property Address
PERMIT FOR PLUMBING INSTALLATION,
ALTERATION AND/OR REPAIR
Permit for
(Re. )
(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 $ [) 0/1 s Authorized by Building Official
PLUMBING INSPECTION DIVISION
Date Issued
rl
Inspection Called./j 44 By
Inspected By & Date
(Test) (Final)
(Form 905—Bldg. Code -3M-10.68)
Inspector