1949, 11-25 Permit App: Sewer -SPOKANE COUNTY HEALTH DEPARTMENT
Division of Sanitation
1127 W. Mallon Avenue No 4012 '~
Spokane II, Washington n
DAT .(--. . ..._4'.' f�'" 1.
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APPLICATION FOR PE IT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Name_L.:...� "�- � _^ ..._. _` __ � �` 'F1 .a. _ .r. . ,. Phone N�'
v
Address of Proposed to �f 1Q ,E/'-:
dress ` Size fif'Property 1._... el---e--i-,k-—
Type of Use 1..—e- ::<--- _...._...._.-.._...._...._...._ Other..............._...._.
Number of Bedrooms...._..:..._.....Building Capacity....._...._...._................. Camp Capacity Other..........._.........._...._.........._...._...._...._.....
Is property below grade of streets or alleys?....._................_...._...._...._..Are streets graded in' •
Is basement for building planned? "' How much excavation or fill proposed?....._...._...._.........._.
Water Supply ;-...:_ ..1?. .:.f_-_...._...._..... (City(Tel�'Spring).
Septic tank capacity....._....__,.-i._._...�'._ ?_.. gals. Style of tank L.--'� r' <' • >
Length of disposal field....._ '~ ... .._
(1) Draw in property area to scale.
(2) Show relative location of: Proposed house, septic tank, i____/-/z___L:__le_l_..—., '"
disposal field, well, garage, and other out buildings. --_ y j
I '
(3) Make note of any heavy slope or swampy area or any /•;77%,
other important topographic details. "„.. '''r-'1 '
Date when test hole will be ready for / ,.) C PilC ft C ' ` ;, 2..0 r
inspection k
Date installation will be ready for final inspection (that is, <—_____ �: 1..Z. Jr - ,, ti _
before backfilling). C y '
SANITARIAN'S REPORT AND RECOMMENDATIONS:
• Date of Inspection................._.........._____________....
Topography ....._...._.........._.........._.... _...._...._.........--- -...._...._..........................._.........._........................................_.........._...._.........._.........._...._............-----•--•----•---.._...._...._...._..
Ground Water..........._...._...._.
Soil Condition ................._..........---------•---........._...--------..._...._...._...._...._...._.........._...._...._..Percolation tests: Minutes....._...._._._...._..._...._...._...._..._...._...._...._..
SpecialRecommendations ....._...._...._...._...._...._...._...._...._...._...._...._...._...._...._..................................................................._.
RECOMMEND PERMIT BE..........._...._.........._...._...._...._...._...._...._..------._...........
�'" Sanitarian
Final Inspection Date ....._...._...._...._ �....f.....1._...... ._._. .._........_ _
Remarks ...._...._...._. `.
V.
SEPTIC TANKS ARE DESIRABLE IN ALL INSTANCES, CESSPOOLS ARE NOT SANITARY.
SANITATION IS VITAL TO GOOD HEALTH
(Form 346—Health-21/2M-4-'48)