Laserfiche WebLink
APPLICATION FOR SANITATION PERMIT. <br />(Complete in Duplicate) <br />gplicafion is hereby made to the San Joaquin Local Health District for a permit to constr t d t 11 the work herein described. <br />Is application is made in compliance with County Ordinance No. 549. 1,,qA1X <br />Installaflon will serve: Residence [] Apartment House E] Commercial El Trailer Court El Motel El Other <br />Number of bedrooms 4- Number of baths [% Lot size-_ --------------- <br />Number of living units: <br />Water Supply: Public system El Community system E] Private. 21, <br />Character of soil to a depth of 3 feet: Sand E] Gravel E] Sandy Loam 9!�'Clay Loam [-] Clay r Adobe 0' Hardpan [j ­ <br />TYPE OF INSTALLATION AND SPECIFICATIONS: <br />(No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br />py No. of compartments ............ "l-__ ...... Capacityl je ------- Size --- ---- -- Liquid depth <br />---------------------- <br />------------------------ <br />Disposal Field: Distance from nearest well .... Distance from foundation ------ /�� ----- Distance to nearest�Wt line ---- ----- <br />---------------- <br />I hereby certify that I have prepared this applicaflon and that the work will be done in accordance with San Joaquin County <br />ordinances, State laws, a�d rules and regulations of the San Joaquin Local Health District. <br />(Plot plans, showing size of lot, location of system in relaflon to wells, buildings, etc., must be filed with this application). <br />FOR DEPARTMENT USE ONLY <br />APPLICATION <br />REVIEWED 8Y---'--'-------'---'-_-----_.���-�-'�-�-'���—'---_-----------_-- D�TE-----~��----_----------- <br />BUILDING PERMIT ISSUED -------------------------------------------- ------------------ ------------------- ------- ---------- DATE--_----'�-..----__-'.-_-'_______ <br />PERW[T I ' (Date) FINAL INSPECTION BY:--. ... <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />130 South American Street <br />Stockton, California <br />ES -9-2M wmW�/an <br />1 0 <br />