1969, 12-15 Permit: C0676 Plumbing Fixtures Plumbing Inspection Division NO. C 0 6 7f
SPOKANE COUNTY BUILDING CODES DEPARTMENT
County Court House, Spokane,Washington Property Address
PERMIT FOR PLUMBING INSTALLATION,
for
or
ALTERATION AND/OR REPAIR Permit (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
c:\`. Fee Paid $ • a Authorized by Building Official
Date Issued 011°14 ,
PLUMBING INSPECTION DIVISION
Inspection Called.___/4 9 42'• / By
Inspector
Inspected By & Date c
(Test) /, (Final)
(Form 905—Bldg. Code-3M-10-68) '