1978, 02-23 Permit: F4736 Plumbing Fixtures(Form 905—Bldg. Code)
Plumbing Inspection Division
S,10KANE COUNTY BUILDING CODES DEPARTMENT
811 N. Jefferson, Spokane, Washington
PERMIT FOR PLUMBING INSTALLATION,
ALTERATION AND OR REPAIR
No. F
4736
Property Address_..19tb....AIMUB# 3, 6010
Permit tor..13.111MBMG.._DISTALLATICN
(Res.
(Corn.
Owner CtelZai Kag 311I,DERS Address Z, 9504 1st* 99206 Phone 92S-6617
Phone 326560C
Contractor KCIII,Z11 TCAATZR _ UN ITIM Address IL 1324...Agt, .99201
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
Zictra..F.Gto: tion oalatrip.. not leggady.
Fee Paid $ 3.00
Date Issued 2/23178
VW
Authorized by Building Official
PLUMBING INSPECTION DIVISION
Inspection Called By.. ((A,
Inspected By & Date
(Test)
Inspector
(Final(