1969, 12-02 Permit: C0634 Plumbing FixturesPlumbing Inspection Division NO. C 0 6 3 4
SPOKANE COUNTY BUILDING CODES DEPARTMENT
County Court House, Spokane, Washington Property Address
PERMIT FOR PLUMBING INSTALLATION.
ALTERATION AND /OR REPAIR Permit for
(Rea.
(Coin
Owner Address Phone..._. .......
.___.�.____
Contractor Address Phone
NUMBER & TYPE OF FIXTURES : Water Closets Bath Tubs Sinks Slop Sinks Wash
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 Called ..._ _ By..._
Inspected By & Date -
(Test) (Final)
(Form 905—Bldg. Code -3M-10-68)
Inspector