HomeMy WebLinkAboutLot 02, 03
F~A Form No. 257~
FEDERAL HOUSING ADMINISTRATION
Form al)proved,
Budget Bureau No, 6g-11296.6.
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAl, SYSTEAi
PART I
(Sofia! number)
TO BE COMPLETED BY FHA ONLY
FIRST NATIONAL
... ~ .~C,..H..OIkt.GE_._. ~_ ~tt~ ................. BANK..OE.~_CHOEiGE .............. .D_az.:~.d ..Wke_aim~ ..........................
(Insuring office) (Mortgagee) (]~ortgagor or spon~er)
Property address ........... 9~K.~_~_ ~F~ ~_o_ ~,'~.ed_. ~_~rlo_ ..........................................................................................
~ x? '~ .....
Subdivision name ....... ~..~O,..~. .................... Block No ...... 2_ .................... Lo~ No.
City ................................ .~$~E~gA~ .... Count7 ........................................................ S~ate ......... A~ .............
Total number: Living units ...... 1 ....... Bedrooms ......... 3 ....Baths x~ ...... ~.. Basemene ~ Yes ~ No
Can attic or other area be converted to additional bedrooms? ~ Yes ~ No How many?
Water supply by ~ Public system ~ Community system ~ Individual
Sewage disposal b7 ~ Public sewer ~ Community system ~ Individual
System dedg~ed [or--Number bedrooms ...... 32 ....... Garbage grinder ~ Yes ~ No
Automatic washing machine ~ Yes ~ No
PART II
TO BE COMPLETED BY THE HEALTH AUTHORITY
The individual [] water supply [] sewage disposal system installed at the above address is [] approved
I-'] disapproved by [] State [] County [] Local department of health.
Date ....................................................
Signed .........................................................................................
(Titlo)
(Name of health authority)
FHA Form No. 2673 Form approved.
Budget Bureau No. 68-R295.6.
FEDERAL HOUSING ADMINISTRATION
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I
TO BE COMPLETED BY FHA ONLY
(Insuring office)
Fi~qST NATIONAL
j~ K __OE. AN.~_O. F2g,¢. .............
(Mortgagee)
(Serial number)
. l)_a~.~. Jdi~e. at~n .......
(Mortgagor or 8pollBOr)
Property address ........... ~.. _Q~...~.~ .~_~_.F..i.~0 _~....e..c!..~ ....................................................................................
Subdivision name .......... .L...~_._.P.T.'iR..T.__.N_.Q,....4_ ...................... Block No ...... _2_ ..................... Lot No.
Lot 3.
City ................................ .~?!g. ~..O.t~_Sg~.... County ........................................................ State ......... AL~8..KA .........
1
Baths ~...-.._Vj_.
[] Yes [] No
[] Individual
[] Individual
Total number: Living uuits .......~ ....... Bedrooms ......... ~ ....
Can attic or other area be converted to additional bedrooms?
Water supply by [] Public system [] Community system
Sewage disposal by [] Public sewer [] Community system
Basement [] Yes [] No
How many ? ....................
[] No
System designed/or--Number bedrooms ...... ,$_ ....... Garbage grinder [] Yes
Automatic washing machine [] Yes [] No
PART II
TO BE COMPLE'rED BY THE HEALTH AUTHORITY
The individual [] water supply [] sewage disposal system installed at the above address is
[] disapproved by [] State [] County [] Local department of health.
Date ...................................................
[] approved
Signed .........................................................................................
(Title)
(Name of health authority)
FHA Form No. 2573 Form approved.
Budget Bureau No, 63-R296.6.
FEDERAL MOUSING ADMINISTRATION
HEALI'H AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I
TO BE COMPLETED BY FHA ONLY
(Serial number)
(lltsurJng office) (~ortgagee) (~ortg~gor or spvnsor)
Propc~y address ........... Y~ ..~!~_. Jf~_r~D.~L ~ ...............................................................................................
Subdivision name .........
City ................................ /~'~:~.!'0'.~ .... County ........................................................ State ......... A ~t~i(A .............
Total number: Livin~ units ...... ~ ....... Bedrooms ......... S ....Baths ~__~__~.. Basement ~ Yes ~ No
Can attic or other area be converted to additional bedrooms? ~ Yes ~ No How many? ....................
Water supply by ~ Public system ~ Community system ~.Individual
Sewage disposal by ~ Public sewer ~ Community system ~ Individual
System desisted/o,~Number bedrooms ...... ~. ....... Garbage ~rinder ~ Yes ~ No
Automatic washin~ machine ~ Yes ~ No
PART II
TO EE COMPLETED BY THE HEALTH AUTHORITY
The individual [] water supply [] sewage disposal system installed at the above address is [] approved
[-I disapproved by [] State [] County [] Local department of health.
Signed .........................................................................................
(Title)
(Name of health authorlly)