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APPLICATION FOR SANITATION PERMIT <br /> {C(mplete in Duplicate} ` <br /> Ap <br /> Thiplication is hereby made to the San Joaquin Local Health District fora s r <br /> application is made in compliance with County Ordinance No. 549, permit to construct and install the work herein described, <br /> JOB ADDRESS AND LOCATION------------ 951----91gypr1anet Stockton <br /> Owner's Name--------------------------------------------- -- ------- - --------------------- <br /> --------------------------------------------------------- Phone_ ----qqp - <br /> Address----------------------•---- <br /> 1---Clover-1a = <br /> ------- <br /> Contractor's Name-------------------- PARR SH Bc--,SON,Sa TWQ-!- <br /> Installation will serve: Residence = Phone___9�-%P_7_ <br /> Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel "'� <br /> Number of living units: IJ Number of bedrooms � Number of baths ❑ Other ❑ <br /> �-5 -L1Q�------------------- <br /> Water Supply: - [� Lot size----___--- <br /> pp y: Public system Y ❑ Community system []: .private � <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ` <br /> Y ❑ Clay ❑ , Adobe ❑ Hardpan ❑ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: { _ <br /> (No septic tank or cesspool permitted,if public sewer is available within 200 feet.) ~{ 1A <br /> f \1 <br /> Septic Tank: Distance from nearest welt---3_Qt-_--_Distance from foundation____1Qt______--Material___ �©Y1C—�%�TC—BI"jCk <br /> Ix No. of compartments--------2-------------Ca Capacity 56! �r ..---- -------- ----------------t------------ <br /> P Y $Q9__GSize � 63Li, uid depth------ <br /> Cesspool: SZ <br /> -__----__ <br /> Distance from nearest well-----------------Distance from foundation-------------------- material__-__.-__--_______-_____-_ --_ _ <br /> Size: Diameter________ ___ ___ <br /> Depth -------------------------------------------- <br /> Privy: Distance from nearest well ________________________________ Distance from nearest building_ <br /> ❑ Distance to nearest lot lino----------------- <br /> ------------- <br /> eepage Pit: Distance to nearest well_-------------------------- <br /> I <br /> Distance from f ---------Lining material----------------------- <br /> Size: Diameter----- -----.Depth------------------------- ------ <br /> _Disposal Field: Distance from nearest well---3_Q <br />