1978, 02-27 Permit F4754 Plumbing Fixtures(Form 905—Bldg. Code)
Date Issued
vw
Inspection C
Plumbing Inspection Division
SPOKANE COUNTY BUILDING CODES DEPARTMENT
811 N. Jefferson, Spokane, Washington
PERMIT FOR PLUMBING INSTALLATION,
ALTERATION AND f OR REPAIR
No. F
Property Address..BROADWAY.,__. ...11218..2Q
Permit for PLUMBIN_G--.INST.ALLA.TI(YW
(Res._C )
(Com. )
Owner zmP.IRE. BuI.LD .RS Address. __P-.C,13CL-.1J 3a,_.-Ccip_.99214+.--- Phone...92/a-5G26.
Contractor GOLD_.SFAL_.Mrd HAII.ICAL INC. Address. ..B....132O3..Forrest_,.._9.921 Phone_..92 -5O26
NUMBER & TYPE OF FIXTURES: Water Closets. .2 Bath Tubs...2
Sinks 2.-_- Slop Sinks Wash Basins 2
Laundry Trays Urinals Separate Shower Baths Rain Leaders Garbage Disposal Units
Floor Drains Fountains Bar Connections Dental Cuspidor Automatic Washing Machi es
Mechanical Dishwasher____2 Refrigerators Sumps Water Softeners Hot W r Tarrks
Sprinkler System
Fee Paid $ 31.O
7-_2/27/2$
Inspected By & Date
(Test)
Authorized by Building Official
PLUMBING INSPECTION DIVISIGN ` +(
� 1
By
A13.�
(Final)
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