Laserfiche WebLink
` <br /> APPLICATION FOR SANITATION rcmm ` <br /> Permit No. <br /> (complete Dufo |wuo6 -- ' <br /> / � \ <br /> ~ .,1the work herein described. ( <br /> if to construa an <br /> A plication is hereby made't6 the San Joaquin Local Health District for a perm <br /> I liance with County rainance No. 549. <br /> Zis application is—mWde in-comp <br /> ------------------------------------------- <br /> t Apar' ent House <br /> Installation will serve: Residence gk �m <br /> / n '"""" <br /> A--- <br /> Number "\ living onUa� �-' Mumu«r�« oo \ Tu�o ~ <br /> - ft- <br /> Private <br /> �� n~'� �� Water <br /> C�mmu�+v system � <br /> Water �uoo�� public "y"'=' G�4 �� Sandy Lon Clay Loam ] ��oyL <br /> 'A6n6a <br /> [� Hardpan <br /> 1 <br /> s*mnooer � s� m --o �� �� S»� [] No [ Yes 0 No R <br /> Previous Application "? <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> permitted if public sewer is available within 200 feetj <br /> (No septic tank or'cesspool _4i�rerial& --C�& <br /> ' nam-�o/ <br /> Septic Tank: D�stance from <br /> � No ofcoml?artment,­11- Distance to <br /> ' from nearest <br /> ' -- Type of �|fe material -r~�'�^-^ ~~r� - C <br /> ce em/ <br /> ---- <br /> Seepage n" <br /> — Distan Distance <br /> ------ <br /> Number u« n ^^- Lining material /c <br /> ^� v rns ��| n" ��� ' [ <br /> Cesspool: Di�ancn~fmm~nporns ������=�°'~~' ________.__�qu�6 C�pn6 ___.___._--gals. <br /> ` <br /> S�o' [Dmme+e, -''.-''-'-~`rth-''��� I <br /> �� � 1 '--''' ' Distance from nenm,� 6m86��'-'-_''-'___'-'_ \ <br /> p�vy: Distance from neon,s+ w=U------------_--' __.___________..�___-------_ <br /> �� � <br /> Di�un": tonoor�t �t |�r-''-''''-''-�'''--''''-_- <br /> � <br /> ' ",""=e^^g `' d' - repairing 'des-cr;be\ - -_-_--_-_'—_._----''Y'� <br /> -''__-__'-- . ------'--''''---- <br /> __-'_-.._____.-- --------------k� . . _-.'�_---._--��_.- ------------------- <br /> - <br /> '—\ ..----- <br /> - <br /> �\\ <br /> . ------------'_--�'-''-'� -- , <br /> ---------- <br /> T <br /> '''' <br /> y ------'-'---------- -' ''-- <br /> ----'---'------------------------------- <br /> ----- <br /> ''----'— fhmt +he wurw0 6edpne iuaccordance °�h"San Jomq�n County <br /> that | have prepare \J <br /> Joaquin LocalH. District. Y | <br /> ordinances, S`*`° laws, and rules -- ~ \ <br /> F,/g"��/°� -�� - <br /> � � <br /> 1be placed on reversi side). <br /> on o6m^ �zew* �t � wsystem in relati_ to , <br /> FOR DEPARTMENT USE ONLY <br /> DATE--7-------- <br /> ^ ------ <br /> APPLICATIONACCEr/Eu o'--'---' __ D/(T6''-'���-x'--'---'------- <br /> REV|EVVBD 8Y_.''__r�.-'-'_-'-^�_' *,r--'- ____/ D/�.E'----'��-----__________._ <br /> 8U|L[���� PBl��[T ISSUED---__---._z-�--_-.___'_.___ (_ r` _____________._--______ <br /> . AKe,*Gnn, and/or ,ecommen6at�nu-_----._--.-_------..__. __-_ -,-_____.______.________.. <br /> '-'__-'------_.''--'�-'--''_-'''-'---'''--''---''--- ''--'-'----'-_-''-'----_.''-'''-__-_-'_'- <br /> ._.-_-'_-----._---.-_---------_-__� � --__-__-.�_-_----.__-_--_--_-.__-_. <br /> '---_-''_-'---'''-�-''-_''''-''''---'-'''--�� --.'''--''--''_--'_-'-'-''--''-''-'--''---' <br /> -''--''----'''-''-''-'-'''_-'''--'-''-_-''---'-_'� <br /> *h:'-7��=�L�`��-L�L----------__.. <br /> FlN/\L INSPECTION 8Y��C'^'���y+��-'--�_.-.r-_. . <br /> | / ��E�[THCU� �T <br /> SAN � °'~ <br /> �`�~^~ � L� ��- ;:, /32 Sycamore Street 814 North "C" Street <br /> /vo South American Street 300,West Oak a'=* Mo,m=o California T=ov CaliforniaStockton, California Lodi, California <br /> es-v-zw . Pe~u"ci 1'57U.00. <br />