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FOR 0 FICE USE: A �� ~� ��RN� �� _ ` in �°omp/w�� wupx��nw/ Date |souo6 ' , Issuedre on ' m ^o �ppxc------�� on |� hmma6v made � the San Joaquin Local Health District for m permit to construct and indu|\the work herein described. � Thi� u' ||cu�on is made /n compliance with No. 549. ` i' � JOD /\DDKESS . r. ~ Address.' ----'--'''----'--'--------'--''--'---'-------' Contn�to�s Name--- _-----_--' poone__'--'_-_-__ ` Installation ~� �� R�� H�� Commercial � T�|a, Court � �� 0 �~ CEApartment ' 'Number of living units: 1-. Number of 6n6nzoms - Number of baths -1- Lot size .7.9.X----/,��'--------.--'- Water" Supply: Public system [I Community system C3 Private E?��Depth to Water Table 5.5 ft. Characterof soil to a depth.,of 3 feet: Sand E] Gravel Sandy Loam � Clay Loam [I Clay � ��n�� Application Made: �Uf yes,6 ) No Dq'- New Construction: Yes n'-No [] FHA/VA. Yes Ej N0]R.--' |rpi OF /mS/ALLw//uN AND �rm./nCAT/umo; (N* septic tank or if'public cuewer isavailable within 200 feet.) Sep ! . - Tu D�t nce from nearest w� Distance from foundation . Material- 15 No. of compartments _--__�qoid dop�h--_---_-Cupuc�y,_-_�--,-- ~ ' ^ ncex�om nearest voD--'--`Di�unce from foundo�on-__.''--'Didnnc*-to nearest |��-.-_.'- N' mber- a, .- . ' � Lnot v'feach �nv. ` Width of trench ' ,''_� r' — Tve cf �e,mo+e��___''--_'Deot off�ermote��.'--'-_.-'Tofo �noth'--''-'_-'-L_'-_-� Seepag�e,-it: Distance" to � � woL°t.—'--. Dist + + / Di +o nearest.lot |�mn... /--- Nun6er��fpDs.rJ-._'_..Uning mu+ahuL_ .,Sbe: Diumetec-=K4—~---Deoth� �-4 ---------- �r Cnpp^po/ D�tm"x�' from' neur6ut "m|L----. Distance from foundation .-- �Uning matm6al�-------' -/ '. ---''-- ? '-'--'--gub.� . � � . Privy-. Distance from noon»sfwell '--'-'-''' ---------------------Distance from nearest building--''---'---_-�''- [l` D|sfan-U"+o ova�n�`�t line_-'-..� __--._—.__-__^-------__-----_^_-._-.—.-^._.� . � �.__. ' - .' ` . ` ^ k ' Remodeling and/or nepaihnig (describe):---------------------------------`--------------------------------------------------------------- ----------------------------------------------------- �_ � ----'�-----------------------------------'-------------------------------------------------------------------'----'----'--''''---''''--''-------''-'---t'— '`---�--�---'----'-----'--_�--'-----------'------''---'-----'---'-r''------`----------------- � --'' --------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------- --- �- I hereby certify fha+ I have prepared tGx and +haftha work will be 6mnm in accordance,with Gan Joaquin County ordinances, State.laws, and i rule"il regulations of the San Joaquin Local Health District. (Signam)-.-_-^-----=,_��'��-�v----��`--------------------------------(=w^~' °^~/~' Contractor) ` ` : '----_.''-_.'--'-_'..''''-'-''''''—_-----' � ~, --_-'---_---___'---_.'---'--'--_'--_--_ . (P|mt .' . showing size mf �t /oca�on of system in relation buildings, etc., can be placed on novene �daL ~ - , - , I FOR DEPARTMENT /\rpucAnOm *��r/�u ur � _��`�_, '----_.''__''--' un/=-=,_-"-�--�+'''_-'-'''--- RB/|EY/ED BY-----�_--------.__-._' --------------------------------------------------- _- DATE------- ---__.._-.-_~/'�_.. 8U|LD'|NG PERMIT ISSUED,----------------- ------------------ DATE----------------------------------------_-- mend ---- ; .. --�--.. ' __''--.__''''--''-_--'----'--_-'-'--_. � .. �� ------ _---._---.--------._-' .--''-'��-''_''`--�. '--'-''''—'''''-'''-'----'''-''---'--. FINAL 'INSPECTION BY-------- --°°- Date . ��--/-----_-!.�.--. AN JOAQUlW ��C�LHEALTH DISTRICT 130 South American Street xv0West Oak Street 1u+Sycamore Street ovuWest 9th Street Stockton,California Led[,California Manteca,California Tracy,California `~""=°"""".""=`"D.=".""