Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1982, 03-01 Health Dist Sewage Appl
FD Rein SPOKANE COUNTY$EALTHDISTRICT West 1101' CollegeAven'ue Spokane, SWashingtoff 99201 456-6040 APPLICATION TO-INSTALL...OR REC NSTRUCT ON SITE-SEWAGE_DISPOSAL SYSTEMS 19 Register No =- Date-- ,lS �'/�47- Application No. 4' 13496--.�; Legal Owner Addr1 s/Legal Description Phone V42.-191037 ofpe of Use Supply:,Public Water Replacement? AddressL: '7b o >- t /_0a 0 - Cita S/�� �No. -of /- /�Bedrooms moo Basement? (Name) t fikChQ/IiAi Septic Tank Drywell? Yes Drainfield Replacement? Bldg._ Sewer Septic Tank Capacity Qo o Gals. Other Length'of " Dispersal Piping / 2 TT �— Side Sewer Connection to No Public System? N of System? ' ; �%L1Q or Private Source Management '.j` Systems?:Ye FEES PD: REMARKS: -No ,of No.:of .Acres Dwelling Units Application f� Permit Flow/Day Mgt. Name ;a ;-t g. Sewer Elevation: Ft. Below Finished Grade- Reinsp'y•'Bldg. Codes Release Gals. 1pplication, ..I/ 'A (Signature 'ermit Mailing- Address.L re--ntative of owner's intere .pplication.,Approval/Date nstallationl / Permit 7 Issued 3/,5 Y Expires44 nstalla'tion. , ._, Approved' Date V. 0Yr/ �, CRD-EN02= 11G -3 •_, wr-