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��- ��APPLICATIONF[FOR ��SANITATION ��PERMIT Permit No. ��q,�-f �� <br /> �r� K .~~. <br /> »'Y ~ � OmpKmafe <br /> (Complete— ' Date |mme6 --.~L����� <br /> lication is hereby made <br /> ^ <br /> 1r,Sp <br /> f6 |� for a permit to construct and install wor7kh rein'described. <br /> T applicafiori is made in-�ompliartce with County Ordinance No. 549. <br /> ------------ <br /> JOB ADDRESS'AND ._OC To N__ -An ---�_ 4n, 6__ -w- -sz- APAI-t--0,17 <br /> Installation will serve: . Residence W--A_`pr_fment House Ej C_ommercial E] Trailer Court Ej Motel E] Other F] <br /> Number of,living.units: I.... Number of bedrooms j�4_: Number of baths <br /> Water Supply:' . -- . system -- -- pfh to Water Table ' <br /> Character of soil toadepth of 3feet: Sand Gravel Sandy Loam y.Loam Clay 0 Adobe Hardpan E] <br /> " ~ + _ <br /> Pre/��� �opGomt�n ��*6�;` Z111,y����] No �� New Construction: Yas���"No [� FHA/VA. Yea [] No ��~� <br /> . . ' <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or'cesspool permitted if-public"sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest well----- I------Distance. from fpundaf�on---/0------------Mafgi%l-- <br /> Disposal Field: Distance from nearest well.. Diifance from foundation ;Za _.Distance to nearest lot line.-y"=. <br /> ------------ <br /> ff <br /> ' nu <br /> y . � <br /> - <br /> I hereby cer+if'YL'fha+ I hae repared this application and that the work will be clone in accordance with San Joaquin County <br /> ordinances, State laws, and rules and regulations o the San Joaquin Local Health District. <br /> -------------------------------- --------------------------------- and/o, Contractor) <br /> = <br /> --- ~ =� ' . - . _-� ~- - ��-_�` <br /> 0v:__--_.__--__..--__---._--._—..^�'----__.—..-^�—.__—_}�f�i._—_'_--_—__..�----_� - <br /> (Plot o6w*�nq o�n m� |�t Iodation of system in relation to w*Uo. buildings, etc.. can be pkooe6 on reverse side). <br /> ' � < <br /> 0U|LD|NG PERMIT ISSUED------ DATE---_'-----_____Alterations and/or recommenclaf ions: _ <br /> -----------__---___------___---_------------------------_---------__------'_---------'_---------;-----------------------------__- <br /> ----------_ <br /> --------- <br /> ------------ <br /> ------- ------ --_---`—.---`----.-----_—.—.-------.------.-_-------_________. <br /> ._—__--.__--__--_—._.—_---_—_---�--._—._---_—.—_—_--._—_—_.—_--__—_.--. <br /> . '--'_--_'--_''''---_----__.'--'''--'''-_'''--''--'''—''---'''---''—_—''_''--'''--'---'—''---�'` <br /> ----------------'---- ----------'-------------'-------'---'------- <br /> . ` <br /> ck� <br /> FINAL INSPECTION BY: ����`--.--.--.—.. Date A `�,��-.---------____� > <br /> � <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT / <br /> /nn South American Street mmWest Oat Street |yz Sycamore Street, ow North �^C^ Street <br /> Stockton. California ' Lodi, California N^nm*". California Tra"v, California <br /> ES-9-2M m".;s°" 1'57 rp.Co <br /> ' <br />