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FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT <br /> Permit No. <br /> ............................ .................... <br /> ... t` ......._...�_.._... <br /> I (Complete in Triplicate) 3 '� <br /> ..�.... ._.._. .. .., ' ........ d lm.;Date Issuer-2-.. . <br /> ' This Permit Expires 1 Year From Date Issued <br /> t .' <br /> Application is hereby made to the San .Joaquin Local Health District for a permit to construct and install the work herein <br /> described. This applicoti n .is,made In compli e witFiS untY Ordinance No. 549 and existing Rules and Regulations. <br /> t North Sid BP.x......�SQ.'... �..of...S.urts.e.�.......CENSUS TRACT <br /> JOB ADDRESS/LOCATION e of F- arida,A <br /> Jimmie Winchell i ................................. .. <br /> Owner's Name ......_. •S�tocktoii'_._......- <br /> phone - <br /> 3$35' E: Main <br /> City <br /> ......... <br /> Address � . ............. <br /> Rbbo Rooter Sewer Service 271539 X65- 2616 <br /> Contractor's Name ......................... ...... ...........................•......• License # Phone ... <br /> Installation will serve: Residence [!9 Apartment House❑ Commercial ❑Trailer Court 0 <br /> Motel ❑Other _. 1J r1 <br /> .-----------•............ ................ <br /> Number of living units.)........ Number of bedrooms - ....Garbage Grinder .._..__..... Lat Size ......__ .--- -•- <br /> Water Supply_ Public System an`d name . f �'----E.................•.._._.........._..•....._.-_-..Private ❑ V <br /> = �- <br /> Character of soil to a depth of 3 #eet�: 'Sand❑ _ Silt C__1Ciay ❑ f Peat❑ Sandy Foam ❑ Clay loam ❑ <br /> Hardpan ❑ Adobe x[„' Fill Material r ------- If yes, type --------------------------- <br /> - <br /> j X <br /> (Plot showing_ size of lot, location of. system in relation to v;iells,:buildings, etc. must be placed on reverse side.) ; <br /> ' i r <br /> NEW INSTALLATION: (No septic tonkJor seepage pit permitted if public sewer is available within 200 feet,) <br /> PACKAGE TREATMENT ( ] SEPTIC TANK Size------._!-------- !• ••5 x 9'- ' Liquid Depth .....5 E.......... <br /> ....... <br /> Cd acct 1600..:_ T ire Cast_... Ma#erial oncrete _... No. Compartments .2................... <br /> Distance_ to nearest: Well -.__-nba--- _.----••--�•--•_---Foundation ---------------------- Prop. Llne070Y......--.-..._. <br /> 85' 85` Total Length <br /> Length of eocFi line.------•-------------•-- <br /> LEACHING LINE �� No. of Lines �---................•--. g � <br /> •D' Box Y =s- -- Type Filter Material`._x-ack.........Depth-Filter Material ---------la"-.......................... <br /> t; <br /> 10r <br /> r <br /> n/a Property lineDistance rest; Well ..... ..._.-_ _ Foundation .......... <br /> 311 <br />