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. 0 FOR OFf CIFUSEz " <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> inDuplicate) <br /> `--,-- Dote Issued <br /> Application is'hereby r;ade to the San Joaquin Locair Health District for a permit t�construct and ins+all the work herein described. <br /> This application is made in compliance With County Ordinance No. 549. <br /> n . - - - _'1..._,::!.ZX .-�__---I---------------- - -- ----------------------- <br /> Commer6al Trailer Court I-] Motel 0 Other El <br /> Installation will serve: Residence A�artment H <br /> Water Supply; Public system E__I�ommunity system El Private 0- Depth-to Water-Table -------- 4. <br /> Chara�ter of soil to a depth of 3 feet: '.Sand Ej Gravel 0. Sa dy"Loam Clay Loam E] Clay 0 Adobe[3--I�Fiirdpan 0 <br /> Previous Application Made: (if yes,dote--------------------- No �7New Construction: Yes V�'�No FHA/VA: Yes E] No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS- <br /> . � <br /> �o septic tank or cesspool �m�� if public sewer is available within 2��pH <br /> ' ,z� � <br /> Sep k from |i- from foundationL <br /> Number of lines| <br />^ _ , ' - <br /> C1 <br /> ------------------------------------------- <br /> S if. n, n,� weo .�*o^.� Distance / <br /> o �psl. ' � ` Z, <br /> U~ _ L ` . c-' � <br /> Ces poo|. ` <br /> Distance {n�m nemn�+ �oU--`��--D��n�� from foundation mot�,ioL.—._--._'-_- � | <br /> El Size' Didmof=r L'-'''-''-'--'-Denth '''--'-__'---'''--''-_Uou@ Copoc�y'__'--__.--ou� ^� r <br /> I '. v. <br /> Privy: D|duncofrom nearest woL��_ ---'''-'`_-''-''-O�tuxce �omnomroa 6uJ6�g.'-'---'--__.'-'-- <br /> �� ' - D�+�`co�o ���u+ |�+ |in�--..—_....--...~.....___-..~__----._---_---_.-.-.-._------- <br /> 7 <br /> Remodeling and/or repairing (describe) -''-.''-'''--''--'-''-_�'-__-__'--_''----'-'__.__.-_-'-'__-'-- <br /> � . ^ * <br /> ------'--'--'----'--''-l -�--'-----'--'-'---------'-----'---'-----�---�------'—'--- <br /> '--'---------'`--------^-''��''-�''-��'-------'----'''--------------'''-=' ----------------------------------------------- <br />` / have prepared this'application and that the work will be done in accordance with San Joaquin County <br /> and rules and regulations of the,:San Joaquin Local Health District. <br />' <br />. (Sig""")_- <br /> I_ <br />� <br /> (Plot plan, showing size of lot, location of sysfe <br /> in relation to <br /> can be placed on reyerse-side). <br /> - FOR DEPARTMENT USE ONLY <br />. . � <br />� KtY|EvvED BY------------------------------ ---'-'----'-'''------'-- DATE........----'--__'--'-'-'__-- <br />' 8U|LDING PERk4|T'|SSUECi_---'. -_'----''----_'----�--.'-_.''�-'--.---- DATE'----_.'_''-'---'-'__.-- <br />� . ` ^ - <br />` ' �7��' -- ' ' ' -- ----'--'' <br /> -' -- � ---* -�^~��-~---------_-' <br />� -----''--'''--'------''-''T-''''-'''--''-'''--'''=-''----'--'''--''--'''--'----'''--'--'-'----'' <br /> .—_'._.-------'_—_--_-----------`-_-.-_--___-_--._--_-__-_-----_-__. <br /> [ ' <br /> —'-''-'—'''-''---''-''''-_'-'-''---'-'-''--''-_'-'-''----''-''''—''--''--'''----'-'------_' . <br /> /~ /� <br /> HN/\L INSPECTION BY: �� ^�-� �Du�. �� � ---4c� <br />� -'-'- '-7^'-~~�^�~~~^~"^~°��~ / --' ---/- --' ' ���---------' <br /> SANJOAQU|NbOCALHEALTHU|STRICT <br /> 130 South American Street awnWest Oak Street 1o*Sycamore Street zosWest 9th Street <br /> Stockton,California | u,a\c"xf","/" Manteca,California Tracy,California <br />