1970, 05-04 Permit: 06045 Sewer LLQ• I.7f`T 26. "=1Li 1F7I L err, i Si 2 �
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rT. E. O. PLOEGER, M. Di, M.P.H.I HEALTH OFFICER
N. 819 j$ffer n Strest ,.i.- .'..
rkWashington 99201
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. . `� le NO 06045
PERMIT NO ` C_
!WIN .:PERMIITrTO INSTAL ®R REC�NSTR1i�T SEWAGE L SAL FAC1L1TIFS
APPLIG ,
.:.- one No, .�`-1-
"'tlame' �14 .: -.�" Address
is
/),dctreis of propose Stte O. ,.� i
_ •» •••" "' a basement for building planned? Ri
...Type of Us opacity .J3thex M
Number 'of Sedr _ ....
ildiniCapacity
r ell
Sup . ''�i City, :11e1i, $prim}.
.Water p .M. e. •, ..L.4, ,sis, Style of t
Septie tasllc cppackty .mach Bert.
t .�_—. — sorption pits.- •------
Y,enth of diaposel field_ so
... - ----
. p) Show violative location et: Proposed howls, "optic tank, .,, a !! GC's: ,Qt�.l .+
out • i ldings. 1,0 0-t I x � t
disposal field. well.-gazags r _ ••
't(2) Wok* note of .any heavy slop• at snoopy a ea or any-
otb.r %aportent topographic trio., . e ;; a..
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if/11 ° ,,, ce,4
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Installer —. . ... . . . -
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igei Inspectionpat. WillitrallirAisaffir
Remarks: !rte - lirf
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CONTRACTOR . .. ._ .,-.4.. 7
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-.•� _ .:T ter, '9�i 1�:�14 ~TL 'P,i-IPCOUNTY'� HEALTH DISTRICT
RICT P.�:�•�
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E. 0.PLOEGER, M. 0., M.P.H., HEALTH OFFICER
N.819 Jefferson Street
Spokane, Washington 99201
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DAT . �— - ' x�
_. _ No 06045 .-,
PERMIT N . 4 ..7 ..-_4'T,;-,...- ... -. -..,
_
.. 7 ,- rOR P�R1d4T TO INSTALL OR RECONSTRtflrl' SEWAGE OISPflSAL FACILITIES ;;. ;,
APPLiCATItiK F
Address
A one No a
!Name sof propose Site, .. 0,., "l-^t om' .
_Types W_ .= Is basement for building planned?
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E CJee,. ;,.�ausp Capacity they
`Number of gedroa�n tiding Capacity-----.—Camp
.iDCity,. Well, *,spring). Drywall
..- - - ' ,17� . • "" 2" . -':' teals. ... tyla of t -
Septi.c tank capacity __. leach Bed-__.--.--.-
-
is ��
_.: _- sorption pits
Length of disposal fieitt.L=- --
CD Show relative location aProposed
septic tank,
diaposai.fiold. xell.'aara9r.. °nd other out buildings. /L.G•.-(2) Maki note of heavy slope or *soapy
area or any—
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other lmpnrtaaC tap ¢Pis ilr. _
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, 41.11)\
to
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pr,61 \-10
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Installer_....4-4-4---,..
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Final Inspection Dat• ft / '"'` °'�
J.'' r t k�mar`ks• ti • � �.. � ?.,,
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. . CCNTRACTO ,404 '4"1" -
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