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-- - � <br /> in C���|� <br /> ' _ Date Issued Date Issued <br /> / <br /> Application hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. . <br /> This application i`made lncompliance with County Ordinance No. 649. <br /> JOB ADDRESS AND LOCATION----^ ` ),* � <br /> -DER <br /> . , A ]-tt ' <br /> Con*acto,s Naiffio-.. --------------------------------------------------- .__----._--'-_---_--- Phone'--'-_------------------- ' <br /> Installation,^ will. serve: Residence 2 Apartment ' -~`- 0 ---'--- o Trailer ---'' [jMotel �3 OtherE <br /> ' N r�6mrof |ivingunito: umber ofbodmom, ~ .. �umber of.6u+ ,/�� Lo+ s�o -�.---,----- <br /> ^` <br /> W* ��r� <br /> m [ Pvofo [ Deot �otr T ��� � ft. <br /> Character soil to a depth of 3 feet: Sand dGravel Sandy Loam 21-1/Clay Loam. [] Clay E] -,Ad' <br /> obe 0 <br /> H��� � <br /> Previous | <|; , s'dote---._---] No - New Conatruction: Yo, =j~_`/o-[] ' ' Yes- ~=~' No ElTYPE OF ` <br /> INSTALLATION AND SPECIFICATION - ' <br /> Disposal, Field: Distance from nearest -.Distance from foundation---.-/D----------Distance to nearest lot line--- --------- <br /> Type of filter maferiaI:_,R_!X_K-------Depth of filter material------ length-------- <br /> Seepage Pit: Distance <br /> I hereby ce�rfify that 11-havi) 'p"re'Pared fffiis done.'in accord a nce4A San Joaquin County <br /> Ke <br /> ordinances, State laws, and rules and,r`ej9-uIa'+ionsof'fhe �a�nJcaqjuin'. <br /> ° <br /> FOR DEPARTMENT USE ONLY r ' <br /> xEv/EvvEu n/----- <br /> ---------------------------------------------c.`----_----,_'--_-�-_---_--_' Dn/c-,----.�.--.-,'-----.---- ' <br /> BU|LD|NG PERMIT ISSUED' '-----''-'--~--^.------_-_--------'_- O/TE------_' ' <br /> -�--_- --------------------- <br /> Alterations <br /> ''--�'-- <br /> AKen��nw *nd/ov-,ec"mm-*n�J <br /> at tons:--~~---------.-'--_-----'- . -'_.--.�-_----------------- <br /> ---------- <br /> -''—'''----''-- _ - <br /> - ~.__-'--'. <br /> ____'__.- _- _-_____'` . ___.___________._____~_ '. ~._____ <br /> __._.. � . . ----------------------- <br /> ------------ <br /> _. _ ---_�.-- <br /> --'-' '-',''- '''-'-''''—'''''-'-----'-'-�-�-�'_-' <br /> FIN \L <br /> ' <br /> |N5PECT -����~�*��NB.�� Date .°�' -------. | <br /> SANJOAQU|NLC]CALHEALTHOUSTRKCT <br /> ' / | <br /> 160nE.w""um"Ave. 000West Oak Street `2^Sycamore Street zosw°5t9th Street <br /> � / | <br /> ' sto^kt~" California Lodi,California Manteca,California Tracy,California <br />^ "S yREVISED "'5° 31A 3^°3 =.=. <br />