HomeMy WebLinkAbout1970, 06-01 Sewage Disposal AppSPOKANE COUNTY HEALTH DISTRICT
E. 0. PLOEGER, M. D., M.P.H., HEALTH OFFICER
N. 819 Jefferson Street
Spokane, Washington 99201
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PERMIT NO. /4- v No 06165
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Name 74t44_,S1—(4,`' Addy e s s� • 7
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Address of Proposed Site
Type of Use
Number of Bedroois ilding Capacity Camp Capacity
Is basement for building planned')
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Water Supply (Ci ,-We 1,-Spr'n Drywell
Septic tank capacity
Length of disposal field
Other
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96.61.67/00 o 1
gals. Style of tank
Absorption Pits Teach Bed
(1) Show relative location of: Proposed house. septic tank.
disposal field. well. garage and other out buildings.
(2) Make note of any heavy slope or swampy area or any
other important topographic details.
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Final Inspection Date
Remarks.
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CONTRACTOR
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For Spokane County Health District