Laserfiche WebLink
APPLICATION FO mit No. <br /> Application is hereby i�a to the San'Joaquin Local Health District for a permit to construct and inftil the work herein described. <br /> This applicationIs made in'compliance with County Ordinance No. 547. <br /> JOB ADDRESS AND <br /> Installation will serve: Residence 2"Apart H se 0 Commercial [] Trailer Court 0 Motel 0 Other 0 <br /> Number ofkliving units: _ht,Number of be r:oms Number of baths _/--- Lot size --------------------------- <br /> Water Supply:' Public System.,021 Clommunit.y system F] Private [] Depth TO Water Table ft. <br /> Character of soil to-a dapfh-of 3-feet: Sand 0.,,,.Gravel [I Sandy Loom [3 Clay Loom [D Clay [3 Adobe ER' Hardpan C1 <br /> 1 11 No <br /> Previous Application-Made:-(If yei,date.--------- ---- No 2`� New Construction: Yes E] No Z]--'FHA/VA: Yes E3 <br /> TYPE OF I NSTALLATION'AND,SPECIFICATIONS: <br /> (No septic tank or ces ool permitted if public sewer is availabl I <br /> T r <br /> e fro <br /> Seepage Pt: Distance to nearest well----­--7------Distance from founclation-_267...._.Distance to nearest lot line----- ........ <br /> Remodeling an8/or repairing (clescribe): <br /> � ' __'-_.-__.___-___-___'.—._-'--''-' <br /> ��__�__�����____���������'_��'���������_��'������� _ <br /> k_----------------------_-._-_.__--_------------------------- ------------------------------------------------------------ ---------------------- ---------------------- <br /> —.. <br /> I hereby ceffify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, andruleVand regulations of the San Joaquin Local Health District. <br /> Q. <br /> (Plot plan, showing size of lot. location of syste iff"Wre16-fi6in—fo�w oils.-V0ldiri§-sT-efc;-can.-be-placed on reverse side). <br /> FOR DEPARTMENT <br /> an6/nrrecommendations:-- �'- _ _________ <br /> .'��.=.,�.u.=='wp''»-~~�'-'--f�-�^~,�--�' -'°^~-�-'--^^~^~~`-~~~'----~~------------- <br /> ._--------- .... ------------------------------------- ------ ......... -------------------------------- -----------------------------...................... __'--.-----._--.--- <br /> ----------- _ --------------_ -------------------------------------------------- --------------------------------- ------------------------------- ------------------------------------------------------- _---------- <br /> -' ---------------- --------------- ---'''-'''-''------------------ ------------------'''-------------------------------------------------''---''' -------------------------------- <br /> ' <br /> ^� <br /> FINAL INSPECTION 8Y�^- / —_' Dom�-'. '-'-'- ' <br /> .-",�—�^~-=~- <br /> SAVJOAQU|NLOCAL HEALTH ~ � <br /> 130 South American Street 300 West Oak Street 205 Wait 9th Street � <br /> ' <br /> Stockton,California Lacil,m"ofornia ma"*"a,California rra"»uan"rnia <br /> ES y nuv/mnm 8'59 zm 5'62 ^rL^m _ <br /> . , <br /> __ <br />