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FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT r j (Complete in Triplicate) Permit t ----- -- ---------J--�- - Date Issued 77:/,S —70 __-___--______-__ - --------- ------------ This Permit Expires 1 Year From Date Issued 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 and existing Rules and Regulations: �JOB ADDRESS/LOCATION / 7Ue71` ------ - ----------------CENSUS TRACT -------------- ----------- Owner's Name + --------- -- -:--�-- Phone - ---- r� ---_---- A� ,jam Address -� 7-7A/S7 ---------5- l7f.J City - '-/ !'fOJL -' ----------------- Contractor's Name ---- -_a ----------------------------License#c �,��f Phone Installation will serve: Residence(Apartment House❑ Commercial ❑Trailer Court i❑ Motel ❑Other ------------------------------------------- Number of living units:_- _(_-___ Number of bedrooms _-9-----Garbage Grinder __________ Lot Size .- ___d /2 '------------- Water Supply: Public System and name --------------------------------- --------------------------------------------------------------------------Private �^ Character of soil to a depth of 3 feet: Sand'g Silt❑ Clay r❑ Peat❑ Sandy Loam ❑ Clay Loam ❑ Hardpan ❑ Adobe '❑ Fill Material ------------ If yes,type ----- --__-.___-_--._____ (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse side.) V NEW INSTALLATION: (No septic tank or seepage pit permitted if public sewer is available within 200 feet,) PACKAGE TREATMENT [ ] SEPTIC TANK [ ] Size------------------------------------------------ Liquid Depth -------------------------- Capacity ----------------- J_Dieter ------ Material---------- ----------- No. Compartments ...................... Distance to nearest: -___--------..--_-_--------------Found tion ________._-_.------ Prop. Line ...................... LEACHING LINE [ ] No. of Lines _______- _- Length of each line_-_-_._ -------------- --- Total Length ,__._--._................. D' Box _-_-_____- TypMaterial ___________________Dept Filter Material _________________........................ Distance to nearest: ______________________ Foundation Property Line .-.__._....__...__....__ SEEPAGE PIT [ J Depth _--___------------- -._.__--------- Number _- .--.---________.___.--- Rock Filled Yes ❑ No i❑ Water Table Depth - ---------------------------•--------Ro Size -------------------•------------ Distance to nearest: .-_--------------------------------Fo ndation ----.--..__-_-_----. Prop. Line -..-_---_-.._...-- REPAIR/ADDITION(Prev. Sanitation Permit# --------------------------------- D e __--.---.-.-------..----.------...) Septic Tank (Specify Requirements) -------------------------------------------------------------- .--- -------- ------------------ ----- / --- _j Disposal Field (Specify Requirements) __ 1 /__ -------- -------- .�TQ ._.__-/_ k .._-._ _ -; - - ------C — o - - - --------------------------------------------------------- (Draw . , - existing and required addition on reverse side) 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. Home owner or licen- sed agents signature certifies the following: "I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in such manner as to become subject to Workman's Compensation laws of California." Signed -- '� - Owner ------ ------------ � f �— BY ------------- - ------ -------------------- -------------- - - ----_--------------------------- Title -------- ------------------------- ----------------------------------- (If other than owner) pp FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY -------- 09an --------------------------------------------------------------. DATE _.7.7 ------------------ -- ------------------------------------------------ . BUILDING PERMIT ISSUED ------------ ---------------------------------------------------•---------------------------------------DATE ADDITIONALCOMMENTS ----------------- ---------------------------------- ----------------- ----------------------------------------- ------------------------------------ ---------------------------------------------------------------------------------------- ---------------------------------- ------------------------------- ------------------ -------------------------- ------------------------------------------ ---- --------------------------------------- ------ -- ---- ---- - - -- ----- --- -------- Final Inspection by: = ---------------------•---------------------------------------------------Date ----- 1f ------ -------- SAN JOAQUIN LOCAL HEALTH DISTRICT E. H. 9 1-'68 Rev. 5M