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PERMIf <br /> � l�]�� FOR SANITATION Permit No. � <br /> ' - ' -- Issued <br /> inDate — <br /> 6 install�owo���n described.for if to construct mn <br /> Application is hereby made to the <br /> This application is made in compliance with Counfy. -Ordinance�.No. 549. <br /> JOB ADDRESS AND LO ---- Phone. <br /> ------------------- <br /> � Ownv,° '`~^'~ <br /> � <br /> ' Co ^] T railer Court Motel f E] Other [I <br /> �P^ m�n �ou"= � <br /> Residence <br /> - �''�---' <br /> ���aUa�*n w� serve 6_ _ __Lof size — <br /> ��' <br /> �6er^nfbrdroumv -2Num6ercdb�r <br /> Nvm6mrofUvingu-n\�� pTable -------- <br /> Water Supply: Public system - �ohnmuni*y ' Private Lu C|uY C] Adobe [] Hardpan <br /> ^ <br /> _ <br /> Character mfsoil too depth of � fmof� Sand El ESandy Loam CJuyLoum [ <br /> No �/ New Construction: Ye, o *'`o �� <br /> k4- <br /> Previous Application Made: Yrs E] <br /> TYPE OF INSTALLATION AND SPECIFICATIONS:Ic so er is available within 200 feet.) I <br /> -or cesspool permitted if publi <br /> ZZ ion----- <br /> Disfariq <br /> No. "' compartments— <br /> /Field: Distance from nearest wel ach line------- -pi-X�OWidth,.. ---- <br /> �\ inn 'Numb*r of o»e, --/»tu/ ':"o"'------------- <br /> Type <br /> --- <br /> - <br /> Type of filter mate na:� ^ `� ^k~* 'k of filter material-- <br /> Distance <br /> ufor|uL <br /> D| noe *o »aurn� *eU '� ' Di�^ncnfrom foundation----'----Distance to nearest <br /> -lot line <br /> Seepage B�: " g m^'"�� _S�e: [ om*+ec__.---_-Dept h----- <br /> -'— <br /> ---'-- <br /> [l Number of p��'__----_umnmn . �Un�g material----------------------------- <br /> well Distance �om found <br /> Cesspool: Distance from nearest <br /> w <br /> u.�.""�� � <br /> � <br /> Size: D*i= ' - [X�un fnearest building_— - <br /> . '� <br /> �] .. . �� <br /> \ v <br /> � <br /> � -------- ' <br /> \ ----------# <br /> ----''--------------- 6 that the workwill be <br /> done 0maccordance w�hSan Joaquin County <br /> | an <br /> , <br /> ordinances <br /> (plot plan,'showing size of lot. location of system in relation to wells, buildings. <br /> FOR DEPARTMENT USE ONLY <br /> - Arr""'`''~'` ' --- ______.''—_—''------ — 'E� ^ ^a <br /> �- ------------------ <br /> REVIEWED BY--------------------------- ------''---'--_ ____________—'--___ D�TE_''--��--'----'----'---' <br /> BUILDING PERMIT ISSUED_. __ __ <br /> ' ' D�+« -- --'' <br /> RN <br /> m ~�L1NSPE�T\[)N ,DY�_ .. <br /> ��-a�~�— �--_—'__'__— ^ . <br /> ��N J���U1N LOCAL HEALTH DISTRICT 814 North "C" Street <br /> |so $�m �mv,|= �� <br /> 300 West Street 132 Sycamore Street Tracy, California' ��ic*|/+o,"i^ _ -_f <br /> ^ <br /> Stockton, California . Manteca, <br /> . ~ <br /> ` ss-9-2w 8-5/ u°vised vv-2/00 <br />