HomeMy WebLinkAboutSPENARD ACRES Block A Lot 11CIl
Fo~'m 2573 Form Approved
I July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No, 63-R296.8
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I.--TO BE COMPLETED BY FHA
INSURING OFFICE MORTGAGEE SERIAL NO.
MORTGAGOR OR SPONSOR PROPERTY ADDRESS
SUBDIVISION NAME BLOCK NO. LOT NO.
__ ~ Can aHIc or other area be made Into
7OTAL NUMBER: BASEMENTI"1 Ne~ Jnst~l[ation oddltlon.l hedrooms?
LIVING UNITS BEDROOMS BATHS
(If Yes, how
Z ~ i ~ Yes ~ No ~ Yes ~ No
WATER SUPPLY BY: SYSTEM DESIGNED FOR
~ Public system ~ CommuniW system ~ hldividual no. OF BD"~S, GARBAGE
SIWAGE DISPOSAL BY~
HEALTH DEPARTMENT INSPECTOR'S SKETCH
It is the opinion of the ~ State ~ Court. ~ Local Department of Health that this individual water-supply system
~ is ~ is not satisfactorg as a domestic water supply for the subject proper,.
It is the opinion of the ~ State ~ County ~ Local Department of Health that this individual
tem with proper maintenance:
~ Can be expected to function satisfactorily, and ~ Cannot be expected to function sati~f
is not likely to create an insanitary condition
DATE SIGNATUR~~ ' _- - .v5
'7 / " / ....
NOTEJ The ~eolt~ ~uJ~rily~oul~ ~omplete t~e opp~oprioJe o~lni~n ~t~teme~f above a~d o~x ~ale, ~ig~oture o~ titlei~
U~e o~ l~e o~o~e ~rid J~r FleaDN ~eporlmenf In~e~to~'~ ~keJ~ ~ well ~ use oJ t~e ~ck ~J J~i~ f~rm i~ ot l~e oplion oJ
health authority.
PART Ill.--FOR USE OF FHA OFFICE
TO THE CHIEF UN~RWRI~R~
I h~ve reviewed th~ [are~a{n~ ~nd ch~ p~incnc FHA Compliance Ins~ctia~ ~q~a~, ~nd ~cammend that
~ndividu~l w~te~-supDly syste~ ~ ca~s~derad ~ Acceptable ~ Noc
~w~e 4ispos~l bc considered ~ Acceptable ~ ~qt Acceptable.
DATE
SIGNATURE
~ CHIEF A~CHITECT
DEPUTY FOR CHIEF ARCHITECT
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
FHA Form 2573
Rev. July 1958