Loading...
1974, 05-21 Permit: A14021 Sewer f J SPOKANE COUNTY HEALTH DISTRICT E. 0. PLOEGER, M. D., M.P.H., HEALTH OFFICER N. 819 Jefferson Street Spokane, Washington 99201 DATE -57/7</ PERMIT NO. /4 /--) .7—? No. A 14021 APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES Name LP,of 06E0_0_0- Address S/.-) .s, ,6.4...cii r�„_'( R hone No. ��C'.-'��3 Address of Proposed Site /7<7° — .-/---e2 - Type of Use 7"/•—(i Is basement for building planned? Number of, Bedrooms. Building Capacity -- Camp Capacity Other Water Supply C / D _ (City, Well, Spring). Drywell Septic tank capacity 70'7 O gals. Style of tank _ Length of disposal field / w Absorption Pits Leach 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. " , -- ,4 1111 1 4t L ± T . Installer / C J ' �1 Final Inspection Date (O "ligThiligli�� .,�i Remarks: • CONTRACTOR ' ''c_..Q�r . RM 346 REV. HEALTH . . ! For Spokane County Health District