1955, 08-04 Permit: 10163 Sewage Disposal SPOKANE COUNTY HEALTH DEPARTME
ARTHUR E. LIEN. M.D.M.P.H., Health Officer
Division of Sanitation 9
N. 819 Jefferson DATE T f
� ,` Spokane 1, Washington
,J
PERMIT NO / � 7
N° 10163
•
AP• ICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Name-. 1 -/ -_ / - Address 7b.) '— ) Phone No r{1 7 p
c.?/ t.
Address of Propose Sit' r U ) 2a-/- Size of Property 12 Y
Type of Use 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 planne "�� -�..r- How much excavation or fill proposed?
Water Supply. -----j
�-t�ity, Well, Spring). Drywell
Septic tank capacity ‘r---4:7 0 gals. Style of tank
Length of disposal field 7 OD Leaching Bed Dist. Box
re. 3/4.//qp_,,A_Ajt., &.,
' )✓/ i
�-j y1`
XQ� 1 2j.r, house, septic tank, --_ _ f __--7.—.
out buildings.
Cc 67‘2 ,6_, '
1 / wampy area or any ( 1 _Z)
!� I
(it-
' ' ,�(� I
7x i c ,t 1 ( ji I inspection (that is,
..._______ l',(--
P--) rhE
S i t DL4 r'�N I
4MENDATIONS: iS Np step�CA'Aci. To 8e t tteD _
Ground Water ON OF Tti a qS���M
r,S 7.E
Soil Condition Percolation'�sts: Minutes
Special Recommendations
`Cj -- '/ 1 ,;5 i ,
Final Inspe+cQtio ate.__- %.,
Remarksp• Jj .ki .5 = -P C ,'LD e?-cP ,--7 :..sem.
CONTRACTOR RECOMMENDED PERMIT BE
Sanitarian
0
(Form 346—Health-5M-2-55) By
0