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APPLICATION FOR SANITATION PERMIT 1 7 (Complete in Duplicate) Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549, JOB ADDRESS AND LOCATION----------- _EuCl .d--AVe,- ----------------------------------------------------------------------------------- Owner's Name--------------------------------------------- -RTHUR-e---IHGER - -- ---------------------------------------------------------- Phone---�--- Address--------------------------- -------------------------22+ 4--.i.-.-Eu-Qlid_-A tet------------------------- Phone 9-900-0------------ Installation Contractor's Name----------------------•-------D.--_19._ Parrish SC �OI--Bi---Ill£.------ -- I-A 9-900Y� Installation will serve: Residence Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ jjOther ❑ Number of living unity❑ Number of bedrooms] Number of baths Lot size13�13.Q_� fQ -_aC1 _ Water Supply: Public system X] Community system E] Private ® C � � ;� a, & ow# &- uov ❑ 4, Character of soil to a depth of 3 feet: Sand ❑ Gravel E] Sandy Loam E] Clay Loam ❑ Clay Adobe Hardpan ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well_____9-;---Distance from foundation_____6d_'------ n aterig___�-__HY' C No. of compartments--------2--------------Capacity_Q.0_---(�_------Size-5___11�b-_-3C-63_-Liquid depth__520 ---------------- Cesspool: Distance from nearest well-----------------Distance from foundation--------------------Lining material------------:__________-__ EJ Size: Diameter---------------------------------------Depth---------------------------------------------------- .Privy: ----------------------------------Depth------------------------------- -------------------- .Privy: Distance from nearest well-------------------------------------------------Distance from nearest building ❑ Distance to nearest lot line_______________________________________________ Seepage.Pit: Distance to nearest well----------------------Distance from foundation--------------------Distance.to nearest lot line______--_--______ ❑ Number of pits----------------------Lining material-----------------------Size: Diameter-----------------------.Depth--------------------------------- ,Disposal Field: Distance from nearest well-----------------Distance from foundation--------------------Distance to nearest lot line________________ ❑ Number of lines-----------------------------------Length of each line------------------------------Width of trench--------------------------------- -- ! Type of filter material_________________________Depth of filter material_____________________ Remodeling and/or repairing (describe)_____________ ephi_c__tr�k ______________________«-________________--__________-______________________-_-___________-____--________________-_________________--•________.___________-______-___ ____ _____________________________„___________________»__________--____________-___..____________-____-______________________________--___--______--------------------- ---------------------------_------------------------------------------------_--------------------------------------------------------------------------------------------------------------____________________________________ I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. (Signed) D. A. PARRISH & SONS. INC. 0 ----PCWQ�r Contractor) By _ --------(Title EOimator (Plot plans, s wing size of lot, Iota+ion of ystem in relation to wells, buildings, etc., must be filed with +his application). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY--------- --W-- -"---------------------------------------------------------------- DATE--------7-1-1-657-1- REVIEWED BY----------------- -------------•---------------------------------------------------------------------------------------------- DATE_ ---------------------- UILDING PERMIT ISSUED--------------------------------------------------------------- DATE---------,------------- Alterations and/or recommendations:_______-__ w ___ �_Nf- -_-' -_-_ !?_M_ -�Q_-_-_, 1-, ~_,� --� y�l•M-t_�_ --------t4 f_ _1 a----- z-. -� � ------------------------------------------------------------------------------------------------------------------------------------------------------------------- - -----------------------------------------------------------------------------------------••----------------------------------------------------------- --------------------------------------------- -------------------- , '' - !! PERMIT No.__7.7_a-------- ISSUED-- ------ ------ ----_----(Date) FINAL INSPECTION BY:-----------------W--V-� ----------------- Date----------------------------- �` SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street ES-4-2M 9-50 W-1634 Stockton, California v ry .x,