1970, 02-20 Permit C0843 Plumbing Fixtures/ jy& -
Plumbing Inspection Division NO. C 0 8 4 3
SPOKANE COUNTY BUILDING CODES DEPARTMENT
County Court House, Spokane, Washington Property Address
PERMIT FOR PLUMBING INSTALLATION,
Permit for (Res.-.._..-..__.)
ALTERATION AND/OR REPAIR (Cora )
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
Fee Paid $
Date Issued
Inspection Called
Inspected By & Date
(Test) (Final)
Authorized by Building Official
PLUMBING INSPECTION DIVISION
By
Inspector
(Form 905—Bldg. Code-3M-10-68)