HomeMy WebLinkAboutLAMPERT #4 BLK 1 LT 18
FHA Form 2573 Form Approved
Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-R296.8
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE/ DIISPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
INSURING OFFICE J MORTGAGEE SERIAL NO,
Anchorage, g. lnSka "" """ "National ]imk or-'AlCska in' Anchora~ ~
MORTGAGOR OR SPONSOR ~ ' ' .~ ~ROP Y-ADDReSS, . . .~' ", , ' ", ~ ' ' ." ~ ''
SUBDIVISION NAME . B~OCK NO. ' LOT NO.
~ Subdivision No. 4 1
TOTAL NUMBER: ~ BASEMENT '. ~ New installat4on . ' -", addlfion61'bedr~o~s? ..... ~ -....
LIVING UNITS BEDROOMS BATHS ' ' ' ' " "" .? ~(1~ Yes, how
WATER SUPPLY BY~ SYSTE~ DESIGNED,FOR
~ Public system ~ Communi~ system ~ Individual'' ~o, ov'~v.,s, s,.B,6~
SEWAGE DISPOSAL BY: , .
~ Public system ~ Community system' ~ Individual e ~ Yes ~ No
,. PART II.--lO BE COMPLET{D BY HEALTH DEPARTMENT
HEALTH DEPARTMENT INSPECTOR'S SKETCH
~is 1~ is not satisfactory asa domestic water supply for the subject properw.
It is the opinion of the ~ State ~ County ~Local Department of Health that this individual sewage-disposal sys-
tem with proper maintenance:
~, Can be expected to function satis~torily, and ~ Cannot be expected to function satisfactorily
~is not likely to create an insat~y condition
DATE . $ G~I.UR~/ /9 - l TLE /'
T The heSlth authority should~0mplete the opproprlate opinion statement bbove and a~x date, signature and title in the
spaces provided,
Use of the above grid for Health Deportment Inspector's sketch as well ~s use of the back of this form is at the option of the
health authority.
,. , PART III.~FOR USE OF FHA OFFICE
TO THE CHIEF UN~RWRI~RJ
I have reviewed the (oreaoin~ ailc~ the per6nent ~HA Compliance Ins~cfion ~eporc, and recommend cha~'the
Indivklual water-supply system ~ considered ~ Acceptable ~ Not Acceptable
~wa~e dis~sal be considered ~ Acceptable ~ No~ Accep:able.
DATE SIGNATURE ~ CHIEF ARCHITECT
DEPUTY FOR CHIEF ARCHITECT
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
FHA Form 2573
Rev. July 1958
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ANCHORAGE
FOURTH AVENUE $ FIFTH AVENUE
GOVERNMENT HILL
BPENARD
FORT RICHARDEON
SKAGWAY
WHITTIER
FOURTH AVENUE
ANCHORAGE, ALASKA
November 3,1959
ASSOCIATED WITH
BANK OF WRANGELL
BANK OF HOMER
Anchorage Health Center,
21~ E. Street,
Anchorage, Alaska.
Re: Came #60-00734~
Bertram J. & Catherine L.Smith
Gentlemen:
~ith reference to captioned we hereby certify that $400.00 ~ll be
escrowed to cover costs of co:mecting to sewer and water hook-Up.
Very truly yours,
R. W. Cottrell~/,
Assistant Cashier.
