Laserfiche WebLink
^ ^ <br /> � <br /> r� <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> . <br /> (Complete in Duplicate) ^ <br /> Date Issued <br /> Application is hereby made to the Sm Joaquin Local Health District for a permit to construct and insfall the work herein described. <br /> This application is made in compliance wifh County Ordinance No. 549. <br /> Installation will serve: Rdidence Apartment House E] Commercial E] Trailer Court E] Motel 0 Other <br /> Number of living units: A---- Number of bedrooms --k- Number of baths I----- Lot size ------A--A".--406A <br /> Wafer Supply: Public system E] Community system 0 Private �(Depth to Wafer Tabl."A ff. <br /> Character of soil to a depth of 3 fee+: Sand El Gravel E] Sandy Loam [-] Clay Loam El Clay 0 Adobe Hardpan El <br /> UK <br /> Previous Application Made: Yes E] No K New Construction: YesAv. No E] FHA/VA: Yes 0 No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: i <br /> (No septic tankor'cesspool permitted if public sewer is available within 200 feef.1 <br /> S t' Tank: Distance from nearest well D' f Zf founda 'on------ M f�,i I----A4AV"A <br /> Disveal Field: Msfance from nearest we�i. Distance from foundafion Distance to nearest lot line- <br /> Type of filter material---t <br /> Seepage Pit: Distance to nearest well----------------------Distance from foundation--------------------Distance to nearest lot line----------------- <br /> _ F ~.^.. ~....~.~.------~...-�------_.Depth------ Ld \. ii <br /> Privy-, Distance from n°om, well------------------------------------------------- from nearest 6uUJing----- -------------------------- <br /> '' ' <br /> LJDistancetonearest lot line`-------------------------------- ------------------------------------ <br /> ______________________�____ . <br /> Kemodoing on6/o, repairing (describe):----�'--''_---'--_--'--__'--_-'__.-______________._______________ / <br /> ._._--..________.---__._--__~-__---_--_---_-..__._-__..__--_—_----._.___---'--''- . <br /> ---�-'__'--_-----_.'-_--'--------_.-_--___'----.-_'''-_...__-___-_-----.-----_---__--_._._—. <br /> ------`---`� ­----------­------------------------^------'------'-----------------------`'--------------------------------------''����-------------------'-----`-------------- <br /> I hereby certify that I have prepared Ais application and that Ae work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules artdp ire I ti of the San Joaquin Local Health District. <br /> (S . ' -'�Ownoran6/or �un�mcto'r <br /> 691) ----------------------------------------------------------- <br /> (PI <br /> '--'--'-�-''-''--'�- <br /> , � o�mof �t ��mt�nm� xy�mm �n ,*�t�n +o ��. 6uU6�g� �f*. nbe placed ' <br /> | <br /> � ��� �6� <br /> F(]V�QE � <br /> ------- <br /> BUILDING PERMIT |SSUED___---_.----_-_-- -----------� DAT ------ - -------------------- <br /> ' <br /> AHe,uf�nsand/or ,ocommondat�ns� ----- --------------------/ <br /> _----_-/' --_--_--'_-__--__.__-_-___..__-___----- <br /> ------------------------------------------------------------------------------------------------''' -----------------------------------------------------.--------------------------------------------------------------- <br /> ----------_---_------.__---___-----_---.__.--_.--_-'-_-__.-----.__._-_-____--- <br /> '_--_---_-__.'''----'''--'''-'' ''-''''-'''---''-''--''-'-''--,---------_'--' <br /> ---_-._------- ---------------------------------------------- ---------------------------------------------------- ---_ . <br /> HNAL INSPECTION BY:---------- ------- Date <br /> ^/ . ~- - ---_.- <br /> SANJOAQ0NLOCAL HEALTH DISTRICT ' <br /> /no South American Street 000West Oak Street au Syc°mo,° s*=+ ow w"*h "C" Street <br /> Stockton, California Lodi, California Manteca, California n~*v. California <br /> ES—,?-2M . m°v/=u 1.57 pRco. `~~' <br />