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. ` \ <br /> NITATION � <br /> ��~ + <br /> PERMI <br /> FOR OFFICE USE; � ' <br /> — -- � Nm —L��'�z_� <br /> � ' Un��pl��tw p�m <br /> Date Issued ------ <br /> ------------ <br /> �_.\b <br /> �Jf-- �n�m Date n <br /> i "| Health District for u |Y �� construct and install the work herein <br /> App(|cod i made rothe San Joaquin L� existing � <br /> ` <br /> ty ordinance No. 549 and <br /> ^. <br /> !_ <br /> Rules and Regulations: <br /> described. This application is Ja,4 <br /> ------------------------ <br /> [on�o�«'o mnm= —"~�'~~----- ^ ' / �n�en� H�u,a�� Comme�|o| �lT/mi|erCow� <br />' Reo�a�cw ��Apm �� <br /> \nuh,Uodmnw�Umerve . �-- _ <br />� Wk�e| El'other ----------------------------------- __ Lot <br />� bedrooms X Garbage Grinder <br /> Number of living units:------------ Number of <br /> Water Supply-. Public System and Silt C] Clay F-l Peat F1 Sandy Loam 0 Clay Loam F1 <br /> Character of sai I to a depth of 3 feet: Sand' <br /> | E]Hardpan <br /> Adobe O Fill »oor=,.". _------ ,_' type <br /> � <br /> (P/c» p'"" '^'= <br /> location of system in relation to wells, buildings, etc. "`.~ be placed_ _ <br /> �hsize cn lot, reverse sidel <br /> hh 2�0f�*t) 6 N\ <br /> owing <br /> ge pit permitted 'if public s wer is available <br /> I bep <br /> INSTALLATION. (No septic tank or seepa <br /> Cupocn ��'^� <br /> y "�`=—' ''r^ �--' p��p U ----- <br /> Foundation <br /> Distance <br /> . ..- <br /> Di�o �o VVo | '^��x��_'---'_. <br /> Type Filter Material Depth Filter/ _-K <br /> ' Depth Diameter —�� <br /> � SEEPAGE��� x PIT � ^ -RockS| <br /> " VVow� ---_-_— <br /> Table Depth . -- <br /> \ D4�oncetnpeur a� V�e ( ---._ Foundation . �-,. _ <br /> � > <br /> � (Prev. Sanitation Parm��� .—.----_--. ~~.. _� <br /> REPAI <br /> i --- � <br /> --------- <br /> ---------------------------------------- <br /> Septic <br /> ---'--- � <br /> S*phcTonk �pn6fyRoquinemen�> ' �w <br /> ____________-______—.______ \ <br /> � Oiopuuol R�6 (Specify Requirements) ------------------------------------------------ <br /> -__'-----'—.-- .______.________�.^________ <br /> ' _--.--'—'—__'--__— <br /> \ ----�.---___'--'--�—. . .--_—_'—_'_---_----__--_ <br /> __—._'_—_---- ���\ <br /> '----� ina� ad i --'----------'----(Dnovvex\�M�gomJnuqu ~--' <br /> i| <br /> will be �n in accordance with SonJoaquin� <br /> Y hereby certify that Y have prepared �� mp� ww"�" �� �ww the wm� qwin Local Health Distelmt. Home owner or li=~— <br /> ~ <br /> Cwwury Ordinances, Shmm» Laws, and Rules and Regulations Of theSon 2oa <br /> sed agents signature certifies the following: rk for which this permit is issued,| <br /> Y shall not employ any person in such nmmmm« <br /> °I certify that in the performance of the wo <br /> sation laws f California." <br /> - n»become subject to --- <br /> / <br /> Signed do_____.- /mr ------------� - <br /> ' 8y —./��L+.. ,�-°�`�°~~.. <br /> ' (ifmhermunnwner) <br /> ' FOR DEPARTMENT USE _—LY_ <br /> > -----C/g�|ON ACCEPTED BY --.u���'��''�r�M�*==�- ______�----------- __._�_ ---`.DATE —_--''_—_ _ __ <br /> ! BU|U0NQ PERMIT muuED --'_---__.--'----- ________----_________'_. <br /> ^ ---------- <br /> ADDITIONAL ��WV�ENT�___- __ ___ _______'_� _� '__-- ______��_—_�______-__ ------ <br /> -- <br /> __--'—'---'_`_____._--'� ---------'--'-- �����-----' <br /> Date` '__ ---_ -------------------------------------------------------- <br /> Final <br /> -----_—''----_'—_ <br /> Rno| Inspection- <br /> ._—./e�,�..�~�"�~=,~---_---.- <br /> ' ' \N LOCAL HEALTH DISTRICTS�NJOA�V . <br /> � <br /> l''68Ray. 5N\ <br />