Laserfiche WebLink
,FOR CAFFICE USE: Permit No. <br /> ------------------------ <br />---------------------- This Permit Expires 1 Year From Date Issued <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein <br /> This application is made in compliance with C ance No. 549. <br /> ............... lhy2o�.p---_--------------------- <br /> Contn:ctor � � <br /> - = - - [�mme |o| Court ] motel- ]'^�Ot�hmr F_l <br /> Installation will ��; �� - /A�r�e� House � ...........-. <br /> --..-_..' <br /> - <br /> s m3 ' Number <br /> Number of )k�mg onNume, cmo <br /> � Depth TO <br /> orerTu6� /� ft <br /> m [Water Supply: pubkcsyo�m Com Sandy C�YLoam [ Clay <br /> �6o6er~ HardpanFl <br /> -nmo\ ] <br /> Chmm,*+mr of soil fm * depth of 3 feel ~ <br /> -o` y*, � - <br /> [] FHA/V \' Yes <br /> Previous App�naBmnMade: Ufves.6oma------' No na-� Now Cnns+rucf|o <br /> TYPE OFINSTALLATION AND SPECIFICATIONS: - ' ' <br />� �N � �u6Uc sewer � available within 200 feet.) <br />/ (N� oe�M� f�n� wr ���p pw�mn�mm . i�m foundation /47 Material ___- <br /> Tank: nearest� Septic - of ^��= 5bn/=e�uu��^�^�-'"y"." �~�.-v,,-.`~__���� . . <br /> Distance from foundation---4 <br /> Disposal : Distance- - -- _ _ <br /> xLwno�6 nfmuchxn�.Z1 <br /> h of trench <br /> Number-of �� ��rmoto,'o�-x � _-Tpto| length �_ _ <br /> '' <br /> BO � Deot of _.' <br /> owTypo of filter mat. =` from foun6ut�n-__-_--D�tuncetonnnmst |ot |�m-- -------- <br /> Seepage <br /> -- <br /> 5eopugm Pit: Distance to nearestwmL.--_--.- Depth ___.--.-' _._ <br /> ] Number of p'� " mot _ <br /> Linin <br /> Distance from foundation--------------------Lining material <br /> ------------ <br /> Cesspool: Distance ._- --esDepth __'_--------uq«`u Capacity---_._-._-�~ ', <br /> Diameter ___. <br /> ` Distance ��m nourao well-------------------------------- ' -_._-___ <br /> rnvy� -_-'----'---'---------------------------- <br /> 0 <br /> c�� <br /> Di�unceh, neuro� lot line'----_.---_-.--.-_'__..__-_- <br /> __ <br /> ---'-------------'`---'--'-------------' <br /> Remn6�ing and/or nopui�ng �eso,be):------'-_---_-�_._- ____.__..__.____________--..._----___.. <br /> . --.__--__-__-___._-.__.-_._--__---__-__._-_____. __-'.____-_'-.--_-__--' <br /> ---.-'_-._..__-__.-_--__-__- <br /> . .-_--_-___-____-._-__-.-_--__- --_--.___--.--.-_------ <br /> --''---'---,-'----------------------------------------� 6 accordance with San Joaquin County/ | "",� prepared^ <br /> and that the work will be <br /> ordinances, Statelaws, <br /> S*n Jo*�u\nLoca Maa�Mm`�n«t' <br /> " - � /��nmvwn rContractor)- <br /> ---------------------- <br /> �n�u��r <br /> / ------_-_-.---.--------�--'_----^. .'- ' <br /> _^'--..__.», - ' , - .-.__._--_-------- <br /> � �-'------'---''--''-'--------''--''—`6m ^ �nrmvmr�, ���, <br /> ---''--' ;o ��m�m +wwm|� 6u���go etc., can ��m�m _. <br /> ' showingw�emf �t �ca�mmnf »yo�xn rm�v�n . ` � <br /> . ,� plan, <br /> FOR DEPARTMENT USE ONLY <br /> | , _____.______.______.____. D/�E'-.-.�c��';Z `'-----' <br /> ' /�ppUC��|[)N ACCEPTED p�--'*-°*'�'�~^'' --- _________________--- D/��'--'-_--.--'--------------- <br /> REV\EV�ED BY--------�-'---_----'--'--- ____..__..__- D�TE_----''--------'----' <br /> BU\LD|N�' PERMIT (SSUED__---_...-__''-_--._-_'_-_-_-_ ''_____ <br /> | ----------------- <br /> ------------------------------- ------------------------------------------------------------------------------------------------------------------------- <br /> ___________________�____.__-''---'--'--- <br /> -_.-----_'__-`--.___----------_'__' <br /> ` - <br /> -'-'''''--'--'-�. � <br /> / � �� <br /> � � Dot=---..^���-��u�-...�a. .~x__'_--._.. <br /> ANAL \N8,�7 «�»u�°" _f~��_�en <br /> � _-~ = - <br /> ° SAN JOAQUIN1OCAL HEALTH DISTRICT <br /> 130South American Street 300 West Oak$"@*1 124 Sycam"�Strem, unu�=,mms�ww <br /> ��\m �n*�/� m*"m�'California n",r'n"nw,"� <br /> naofwm/n <br /> _ <br /> ES n REVISED u-sp cw 5'62 xrL^m ' ~ <br /> � <br />