Septic System Installers
On-site sewage / septic system installers are permitted annually.
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New Systems or Changes to Existing Systems
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.
HIV/STD Services
Promoting health and quality of life by preventing HIV and STD infection and reducing related illness in Spokane County.
Bats & Rabies
Prevent the spread of rabies! Bats are beneficial to people and the environment, but they can carry and transmit rabies, a fatal disease. Learn how to reduce the risk of rabies to people and pets.