1971, 04-23 Permit: C2895 Plumbing Fixtures Plumbing Inspection Division NO. C 2895
SPOKANE COUNTY BUILDING CODES DEPARTMENT
4 a County Court House, Spokane,Washington Property Address
PERMIT FOR PLUMBING INSTALLATION, (Res.._._.._..—)
ALTERATION AND/OR REPAIR Permit for (Com )
r.
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
l I Fee Paid $ Authorized by Building Official
�'` PLUMBING INSPECTION DIVISION
Date Issued 4 /,
Inspection Calle�' _._ / ,.._ /^� By
J `✓ Inspector
Inspected By & Da _
(Test) (Final)
(Form 905—Bldg. Code-3M-10-68)