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APPLICATION FOR SANITATION PERMIT d (Complete in Duplicate) Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. JOB ADDRESS AND LOCATION---------315 ------Redwood.--Ave.----s-. Sto clt on Owner's Name------ ------------------------------------------------------------------------------- -------------- Phone------- ------------------------- Address----------------------- 21 Naloa Ave,, Rodeo' Calif ----------------------------------------------------------------------------------------------------- Contractor's Name--------- -_-.A. Parrish & Sons, Inc. . -- Phone---8g ---__-•-_-_-- - ------------------ ------------------------ Installation will serve: Residence ❑ Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other jK] 4 cabins` Number of living units: 4] Number of bedrooms 4E] Number of baths [4 Lot size-------- Water � ----l----- -------------------- Water Supply: Public system ❑ Community system ❑ Private IZ Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe LN Hardpan ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well-----------------Distance from foundation...._---------------Material❑ No. of compartments-------------------------Capacity-----------------------Size--------------------------------Liquid depth------------------------- Cesspool: Distance from nearest well_________________Distance from foundation--------------------Lining material----_-----------____--_----_--_- 171 Size: Diameter------••------------------------------Depth-----------------------------------�- -------------- ,Privy: Distance from nearest well----------------------- ------__-Distance from nearest building { ❑ Distance to nearest lot line_________________________________ Seepage Pit: Distance to nearest well-- , Distance from foundation--,'55 ..............Distance to nearest lot line----_ ® Number of pits----_-/-------------Lining materialsJ ---Size: Diameter---Air-----------Depth -mac las, Disposal Field: Distance from nearest well..s�------Distance from foundation____- -r_-_----Distance to nearest lot��ine----_ Number of lines-----1----------------------------Length of each line----- --_......•.._-.Width of trench-----2.4 11 Type of filter mat erial__ .h��--_RA-ckCDepth of filter material-__12-!---------- Remodeling and/or repairing (describe):-__-Supplement to Dresent drainca 6ySteI31 ---- ------------------------------------------ --------------------------------------------------------------------------- ----------------- ' ---------------- ---------------------------------------------------------------------------------------------- I hereby certify that i have prepared this application and that the work will 6e done in accordance with San Joaquin County ordinances, State laws, and rules and regulations of the San Joaquin Local Healfh District. (Signed)----- �-'- A'---P----- �S-- OILS, Inc. ----------------------------------------------------------------------- Contractor) tr ctor] By:------------- (Title) President - --- ------ -- --------------------------------•----------- -- (Plot pla , sh ' g size of lot, location of syst m in relation to wells, buildings, etc., must be filed with this application). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED B�Y------------ --s------ DATE----------1Q` ------ WED BY----------------------------------------------------------------------- --------------------------------------------------- DATE------- � ----------------------- BUILDING PERMIT ISSUED--------------------------------------------------------------- ------------------------------------ DATE -------------------------- -------------------------------- Alterations and/or recommendations-------------------------- --------------------------- --------------------• ----------------------------- --------- PERMIT No------------------------- ISSUED-.--------------------------------------- fDate1 FINAL INSPECTION - 4 ` --------- Date -------- Date----------------/O 7)_ 6f- SAN JOAQUI'N LOCAL HEALTH DISTRICT 130 South American Street ES-9-2M 9.50 W-1639 Stockton, California