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1969, 07-16 Permit: C0171 Inspect FeePlumbing Inspection Division NO. C0171 SPOKANE COUNTY BUILDING CODES DEPARTMENT County Court House, Spokane, Washington Property Address----------------------------------------------------------------------------. PERMIT FOR PLUMBING INSTALLATION, . ALTERATION AND/OR REPAIR Permit for------------------------------------------------------------------- (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 .......................... SprinklerSystem-------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------- FeePaid $-------------------------------------------- DateIssued ------------------------------------------ InspectionCalled ------------------------------------ ------------------------ InspectedBy & Date --------------------------------------------------------------------- (Test) (Form 905—Bldg. Code—W-10-68) ------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------- Authorized by Building Official PLUMBING INSPECTION DIVISION By----------- (Final) Inspector