Laserfiche WebLink
t4 FOR OFFICE YSE..1 <br /> / Ay <br /> 11 <br /> - <br />....... ... ...:.. -- = APPLICATION FOR SANITATION PERMIT Permit No. __ .. .. - _ <br /> -- --------------------------------- <br /> r.� n <br />--------------------- ---------------------.------ (Complete in Duplicate) <br /> ----_--- --- This Permit Expires 1 Year From Date Issued Date Issued <br /> Application is hereby made to the San Joaquin Local Heal+h District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATION---„ -Q__z_/-9-------- - i <br /> Owner's Name---- [ --• ------------------•------------------------------------•---------------- ------------ Phone ..... '45 . <br /> -----..Al...... ,s --•-•-----•-----------------------------------------•--- <br /> Contractor's Name........... ----•• <br /> Installation will serve: Residence E] Apartment Hous ❑ Commercial [3Trailer Court Motel ❑ Other ❑ <br /> Number of living units: _/___ Number of bedrooms .,-___ Number of baths ________ Lot size -------_5_4L.g 2.032----------------------- <br /> Water Supply: Public system Community system ❑ Private ❑ Depth to Water Table ________ ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe' Hardpan 0 <br /> Previous Application Made: (If yes,date--------------------) NoA New Construction: Yes ❑ NojR` FHA/VA: Yes ❑ Na; <br />