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� <br /> ^ APPLICATION FOR SANITATION PERMIT Permit No. <br /> � <br /> *p-l"'t.", <br /> �omP�e � Du���) Da� |s�o66 | | described. <br /> This application is made in compliance wi�l County Ordirian,ce N05 <br /> JOB ADDRESS) ^ <br />. ' �--------------------------------------------------------------------------------------------------------- <br /> it& <br /> Contractor's Name- <br /> Installation will serve: R sidence [9/Apartment House [] Commercial E] Trailer Court E] Mote; El Other F-1 <br /> Number of /w/ng units: '-/.. Number of bedrooms -Z- Numbersize _ --------------------- <br /> Wafer Supply: Public system E] Community system El Privat Y Depth to Water"Table _�- ft. <br /> � . <br />� C��� � s� � a6�� �3 feet: SandGrave! El Sandy Loam El Clay Loam El Clay El Adobe [ROHurdpan [l <br /> Previous Application Made: Yes E] No R" Now Construction: Yes RKNO El <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (Nn septic tank orcesspool permitted if public sewer isavailable within 200 feet.) , <br /> 3p nk: Distance from nearest .oU-��.,a--Di,+o fromfoundation-��'��._-_��u U,-,��� <br /> �� <br /> No. ofcompartments--------I�-_-------G|zo.. -Liquiddepth---14-------------Capacity------ <br /> �����.�-� <br /> Disposal Field: Distance from nearest weU-Y° ~- m °~ nr l :p <br /> ----- <br /> Number of iALeng+ ofouo6 | of +nynch--.����.~.--.�-' <br />| Tvpo of filter m�t��u[�". ---Depth of fi|+or material--------- -------- length-------------ZOO----------------- V�-� <br /> Seepage Pit: Distance to nearest *elL--_-_-Distuncefrom {nundufion_--'-_'-Distance to nearest lot line_'.. -- ! <br /> [� Number ofp*' | '_---'.-��mg material----------------------- Di°mr+n,--_.'-''---Dopt�'----_.-_-^` K� | <br /> : Distance from n' roo well _.----..Distance from fvwn6ntion----_--Uning motorioL_-___--__- <br />� 171 .Size: Diameter---- ----------------------------------------------------Liquid Copacity_.-___'-__gu|o. <br />' Privy: Distance from nearest well-------------------------------------------------Distance,from nearest building------------------------------------------ <br /> 0 <br /> .'---'''__. -''__'[] Distance tonno,ps lot lino` _-----__-----._---.__.__-__--__--_.-------�-.-__-_----� <br /> o (describe): <br /> Romo� �g un6/�, n,po|6ng r�es �6o <br />) � l' <br /> ' .---'--'--� '--------'---'-'----'—'------------'-----'-------'' <br />! -'-___.._____--__..__.__---_____-._____-__.____--____.-___�--------------------------------------------------__._-_ ~- <br /> --------------------------------------------....................------------------------------------------------------------------------------------------------_.._-_----- -------------------------- <br /> --_-__.-___-_'____--'__---'-___.'-__--___-___-'--___----__-''-__-_-___.'__.-__-'----'--.'-' <br /> H` the work will accordance with San Joaquin �ounty ` <br />+ . hereby_ certify -- . _�- prepared <br /> ordinances. State laws, anrr"l <br /> cl <br /> tions of The San Joaquin Local Health District. Owner and/or Contractor) <br />� p <br /> ��no�L-_- 4e, <br /> __^'-�--- _. ---._--__-_-__'_--__.-_. <br />� ____-___'____.-___.-_---------_--.-----__-_.---__]Tif le)----__---_--_--.—_---. <br /> (Plot plan, showing size of lot, location of sysfern in relation to wells, buildings, pfc., can be placed on reverse side). � <br />�\ FOR WARWENT ONLY <br /> 8U|LD|NG PERMIT ISSUED------------------------------------------------------------------------------------------------------ DATE------------ ------------ ----------------------------------- <br /> Alterations and/or recommendations: <br /> _-.________4Jhsnxtionsmm6/orrecommen6mfionv:----------------------------- --`-- --------___--._-__-__-___-_'-----_______..__ <br />� <br /> -'--'-----''--''--'''-''''----''''-'--''---'''''--'''----'''''--''''-----''''---''----'-----'--'---' <br /> _----.--`.--_-_-_---�_---_----'-_----._.__-----_--__----__-__---.-----__.. | <br /> ''---_''---''''-'--'''-''--_''''---.''----''---''''---''-----'''--_''''-_--''__.''-_'---------------------- <br /> ------------------------------ ------------------- <br /> .'---_.- <br /> '-.-���'---,'`'-''_-'�----''-_-.�'���� '-� -------- ------------------ -------- --- ---------- '-'-'-- <br /> FINAL INSPECTION 8Y�� -------- � ----- Duf�.'''_�--�- ''/_�. ��'''_-''--- <br /> - SANJOAQU|NLOCAL HEALTH DISTRICT <br /> . <br /> 130 South AmericanStreet � v� o� �m 132 ��"= �� o/* worth "C" Street <br /> ' <br /> Stockton, California L"aic°�"�� ~ Manteca, o"o��w n°cy, California � <br /> . � <br /> y , � <br /> ' <br /> ES-9-2M ua/ nava^x vv-2/00 . <br /> - <br />