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* <br /> '°~ "" ' 0^ ""E' <br /> ------------ �P���� ��| � � �� � -SANITATION ����IT Permit No <br /> . <br /> I <br /> / <br /> -------------- ------ � � p°pmpm,= Date Issued .���������4 <br /> " *�� - " This Permit Expires 1 fitar—From Date Issued <br /> --------------- <br /> Application is hereby made to the San Joaquin Local Health District for o permit to construct and install the work herein described. � <br /> '"'` "pr`"""" is "'""" in compliance ~^^`~~^'/ Ordinance No. 549' � <br /> JOB ADDRESS AND LOC,,.ATION---------10q___Z---------- ---------�S-r---------------------------------Itaf -------------- <br /> rmo -°°=^~~---�~~-°''~~�'--'-~'~--------'-'--'-----------���� ' � <br /> Contractor's Nome-.. .-_---.-_.-------.-_''_'_-._-.---'__-_.. phun*__' <br /> |nstaUationw0senm; Residence FApartmentHouse E] Commercial F Trailer Court Motel [] Other E] CHVKC14 <br /> Number of living unit,: --' Number of 6eJp,om, --' Number of baths -�.. Lot size ]�----------------------------- -.- <br /> Water Supply: Public system HYZravel <br /> _ Private F-] Depth to Water Table ft <br /> _'wm6� � y�|� a 6no� � 3 ��; 'Sand � F­��New <br /> L� � Clay Loam [ C|oy � <br /> Adobe E] Hardpan E] <br /> Previous �rr'~~^~' kuJe; (If yes,date ) No Construcfion: Yo, F-1 No �~ FHA/VA. YexNo 21_~ <br /> ~ <br /> \ <br /> TYPE OFINSTALLATION AND SPECIFICATIONS: ' <br />'-- ' cesspooifnw <br /> ' /0u~~�� <br /> �ep� � u �o ce rnzm n�o�� ��n ".,,"nce from foundation---- <br /> � <br /> �,�� . <br />- u�� &�� <br /> ` D�po�| Field: Distance from nuunetwai--_^"�_Distance from foundation � <br /> Number of lines Length of each h <br /> ~� <br /> Type of filter material � � ~-� Dept" of filter moforio| -' « . ^-.-Tota| length ~ � - .. ~~~ ' <br /> Seepage Pit: ' �Distanceto nearest �L--_--_ <br /> ~ Distance from foundation` --------------------� <br /> ist � <br /> Distance nearest lo --_-- <br /> � |ine, ~ <br /> Number of pits--- material-------- Diameter------------------------Depth-'--------' tj <br /> � Distance from nearest wvU-'-'-_Distancefn,m foun6o+�n-_-__�ning material---------171' Size: Diamotec -----------------------------------Depth----------------- ----------------------------------Liquid Capacity-----------------------------gals. <br /> -�v <br /> Privy: Distance from nearest weU-----''----_---'-Dbt�nco from r�u�� building _ ~0~ <br /> . <br /> Distance to nearest lot |i <br />� [] . n�---_-------------------._-'-'-_------.-.._-_---' <br /> ��� �= <br /> ' Remodeling^ ~'~'~ repairing ---------�-4 <br /> ._---_---------'-'''--'---'''---'---''^-- 7r <br />� --/,-.__----._-.___.-'^-.-.. ._'_-_'_-'_.--------_'----'---__.--._-_.---''-. . . <br /> ----------------------- ------------ -------------------------------------- ----------------------------------------------------------------------------------------------------------------------- ''-_--' <br /> that | have prepared this application and that the wor °;U Joaquin done accordance w � San Jpaq� County <br /> p,6�uncev herebyState 'laws, and ,"les and regulations of the San Joaquin Local Health District. ` <br />. . <br />, ,i='--, -~.-_--._-���� <br />�-_- <br /> "~ IT <br /> "°. .�mtp/ sm g size p, /o� ocunpnp, system ." ",.". ." _=.", ~ <br /> r`rruCn//un nCCc,."" ".-_'*''"^" ,°=_-'-''-_--'--_---'-_'---- DATE-'_,--''-.--'----_'������ <br /> DATEDY'-.--_-_--------''----'----'-___-'---'--- _--_'--''---'---_-__. <br /> BUILDING PERMIT ISSUED_----------------------------------------------------------- <br /> DATE'''----''''-'----------- --------------- <br /> Alterations - � <br /> ._--- _-- �� <br /> - -----`---'-----`-----`-`----` <br /> ------------ <br /> -----------------------�������� <br /> ^ �r «��r _ �� �- - <br />! -------- <br /> FINAL |NSP -. Du+e'----'-»���._�-��-'�����^-_--'''- <br />^ _ - <br />/ <br /> SAN JOAQU|N LOCAL HEALTH; DISTRICT <br /> 1601 E.*"`elto"Ave. 000West Oak Street o*Sycamore Street uo5West 9th Street <br /> Stockton,California Lodi,California ~ Manteca,California Tracy,California . <br />� - <br /> ����� <br />