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Sewage system / septic pumpers are permitted annually by the health district. See a list of permitted pumpers or find out how to get information about permitting.

Learn about licensure requirements for septic system design professionals and see a list of local licensed designers maintained by the health district.

On-site sewage / septic system installers are permitted annually.

Spokane Regional Health District tracks and issues permits for new on-site sewage systems and changes to existing systems. Learn more about the permitting process.

Promoting health and quality of life by preventing HIV and STD infection and reducing related illness in Spokane County.

School Health and Safety Workshops