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1977, 10-07 Permit: F3569 Plumbing Fixtures(Form 905—Bldg. Code) Plumbing Inspection Division SPOKANE COUNTY BUILDING CODES DEPARTMENT 811 N. Jefferson, Spokane, Washington PERMIT FOR PLUMBING INSTALLATION, ALTERATION AND OR REPAIR No. F 3569 Property Address RIV'ERWAY ROAD M-2503 Permit for PLUMBING INSTALLATIONS (Res. X ) (Com. ) Owner RAROLD MASK Address 14.....3823...Wi11_ow. Road Phone_ .Wa._4-.457$-._. 535-5944 Contractor GOLD SEAL MECHANICAL, INC. Address E.....132Q3..forrs_st Phone 924.-3423_.. NUMBER & TYPE OF FIXTURES: Water Closets 3 Bath Tubs.._1 Sinks_...]. Slop Sinks Wash Basins.._.4 Laundry Trays 1 Urinals Separate Shower Baths 2 Rain Leaders Garbage Disposal Units Floor Drains 1 Fountains Bar Connections Dental Cuspidor Automatic Washing Machines 1 Mechanical Dishwasher 1. Refrigerators Sumps Water Softeners Hot Water Tanks 1 Sprinkler System Fee Paid $ 3S'QQ t/" Authorized by Building Official /PLUMBING INSPECTION DIVISION Date Isaed 10Ay7 /� Inspection Called d___1 6 Inspected By & Date (Test) Inspector (Final)