Step #1


On-site sewage system installers operating within Spokane County are permitted annually by Spokane Regional Health District. The permit process includes:

  1. An application
  2. Payment of applicable fees (view current Spokane Regional Health District Fee Schedule)
  3. Successful completion of an open book test. To take test, bring a copy of your current contractor’s license to:

Spokane Regional Health District
Room 402, 1101 W. College Ave.
Spokane, WA  99201

During the hours of 8:00 a.m. - 3:00 p.m. If you have questions, please call 509.324.1560 ext. 1.