1977, 11-28 Permit: F4038 Plumbing Fixtures(Form 905—Bldg. Code)
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Plumbing Inspection Division
SPOKANE COUNTY BUILDING CODES DEPARTMENT
811 N. Jefferson, Spokane, Washington
PERMIT FOR PLUMBING INSTALLATION,
ALTERATION AND OR REPAIR
No. F 4038
Property Address 1Hth.-AV'..�*t'iUtZ,-_ 14505
Permit for -_--PLUMBING --ItnS_TALLATICET
(Res. -X
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Owner CARL WPM. ..AS OCC. 'l.'_.t . -, IT{C, Address 3. 9212 Montgomery, 99206 Phone. --922-_169.0
Contractor 1.112.. HARTY KAMM Address-.-.E...-142?--Hotoini---9;'207 Phone....489-4351
NUMBER & TYPE OF FIXTURES: Water Closets 2 Bath Tubs 1---- Sinks 1 _ Slop Sinks Wash Basins.2
Laundry Trays Urinals Separate Shower Baths. _ -1 Rain Leaders Garbage Disposal Units
Floor Drains Fountains Bar Connections Dental Cuspidor Automatic Washing Machines--- -1
Mechanical Dishwasher Refrigerators Sumps Water Softeners Hot Water Tanks . .1
Sprinkler System
Fee Paid $ 21.00
Date Issue 11/28177
Inspection Called
Inspected By & Date
Authorized by Building Official
PLUMBING INSPECTION DIVISION
By .._ y LL -./.,
DE UiY
Inspector
(Final)