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1969, 12-10 Permit: C0652 Plumbing FixturesPlumbing Inspection Division NO. C 0 6 5 2 SPOKANE COUNTY BUILDING CODES DEPARTMENT County Court House, Spokane, Washington Property Address--------------------------------- PERMIT FOR PLUMBING INSTALLATION, (xes.-------) Permitfor---------------•---•----------------------••------•---------------- ALTERATION AND/OR REPAIR (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 ............................ SprinklerSystem ...................................................................................................................................................................... ---------•-- .... ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------- FeePaid $ -------------------------------------------- Date Issued--------------------- --- - --------- r Inspection Called ------------------------------------ -- -- InspectedBy & Date --------------------------------------------------------------------- (Test) (Form 905—Bldg. Code -3M-10-68) Authorized by Building Official PLUMBING INSPECTION DIVISION By (Final) ...................