1969, 12-10 Permit: C0656 Plumbing FixturesPlumbing Inspection Division NO. C 0656
SPOKANE COUNTY BUILDING CODES DEPARTMENT
County Court House, Spokane, Washington Property Address
PERMIT FOR PLUMBING INSTALLATION,
for
or
ALTERATION AND/OR REPAIR Permit(oom )
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 $ / Authorized by Building Official
PLUMBING INSPECTION DIVISION
Date Issued
Inspection Ca11edL_Z411__1_in_1 `�/ By
Inspected By & Date
(Test) (Final)
(Form 905—Bldg. Code -3M-10-68)
Inspector