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FOR OFFICE U�E: <br /> �L -------------------------- <br /> r This Permit Expires I Year From Date Issued <br /> Health District for a permit to construc aWj �stall the woA herein descr <br /> Application is hereby made to the San'U. oaquin Local <br /> This application is made in compliance'with County Ordin' ance No. 549. <br /> ------------ <br /> �� �mo� MAPPLICATION FOR SANITATION PERMIT Permit No. <br /> / <br /> ."=a~..~.. will serve: Residence_ ^~ . � <br /> Number of livi * units: J#- Number of bedrooms�I#- Number of baths/$,.0'-- Lot size <br /> ommunity system 0 Private El Depth to Water Table Apr;ft. <br /> Water Supply: -Public system 9KC- �. k I ardpan" <br /> Character of soil to a d4th of 3 foet:' Sand [3 Gravel El Sandy Loam 0 <br /> Previous Application Made. (if yes,da' te--------------------I No [;K""New Construction. Yes pT""No C] yes� <br /> TYPE OF INSTALLATION AND SPECIFICATIONS- <br /> (No sVficlank or cesspool per;niffed if public se�wer is available within 200 feet.) <br /> ' oh+cid �� <br /> ..Ty-e of filter material-'Reot-------Y'Depth of filter material----/,J?�---- ---,! , j* <br /> est lot <br /> Seepage Pit: �� � � <br /> '="=eof r~ -- '---' ~ ` <br /> Cesspool: Distance.from nearest well----------------i Distan rorn foundation--------------------Li <br /> st lot line <br /> ---------------------- <br /> --------------------- <br /> --------------------------------------------------------- <br /> \ <br /> '---- �wed this applicatijn and that the work will be done in accordani;etwith San Joaquin County <br /> hereby certify <br /> prep <br /> aws, and rules mnd regulations o theo <br /> D Contracto � <br />| '(Plot plan. showing eize'of loti-locmti in relation to wells, buildings, etc., ca.n be placed on reverse side). <br /> FOR wErAm/ cm/ USE ONLY <br /> � ^ ux <br /> ' <br /> � AP�C�ON A��� _—_-_'-_--_-_- DATE-//_-__- _ <br /> -� ~- ��� DATE ___________ <br /> � RGY|E\NED 8Y' ~��---''''----��'-''-'-_'-''_-.-_---_-- -'--_.'_-'-' <br /> -'—'--'-----�°'�� \ DATE------------ --------------- <br /> 0]|LD|NG� PERk4|? ISSUED --'-'-_.---- - <br /> . ,� _-- V _�� _--- <br /> ------------- ----�--------------------------- <br /> ''~~' -----'--~� /7 - -- (� _ <br /> - -''-I --'_''-----''-'' --'-'-_-'--''-'' v--_.-_-.-'__-''''---''-=.---'- <br /> ' ---''- :--' ---- '''-_'-''--'-''-_'''-'''-'''--''-'''-''--''-'--''-'_-'-'''_---.'----_--' <br /> ----.—_----------------------._-.---_.__-'_..`-_'_-_----.--__--.___--_ <br /> / - � <br /> ' / � ~---- <br /> - �~ � <br /> FINAL INSPECTION BY�..�~��. Du��-..�-�._--^��-'�=----=°----_� <br /> w SAN JOAQU\N LOCAL HEALTH DISTRICT <br /> 130 South Am � o0uw�,n�o�*m <br /> ' ��=,"o�°� opnw°m���s�*� 124 Sycamore �m <br /> � <br /> Stockton,California Lwu/'CaliforniaCalifornia/� �m ,�°w'Californiar,":v'canf","/a <br /> to 9 REVISED "'"p cm 5'45/ ^,w° <br />