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(Prev.FOR OFFICE U <br /> This Permit Expires 1 Year From Date It-sued <br /> ruct and install the work herein <br /> Applic tion 'is hereby made to the Son Joaquin Local Health District for a permit to const <br /> ribcs A County Ordinance,No'. 549 and existing Rules and Regulations* <br /> desc ed. This application is made in compFlue VV1Tn_C,,ur,,1,, <br /> dd <br /> Contractor's Name- w�11_ja License #Ij!9 <br /> Trailer Court 'Cl <br /> Installation will serve: Residence (F <br /> LApartment House-F-l Commercial <br /> Number of I iving units(_-I-)---- Number of bedrooms ---Garbc�ge Grinder Lot Size ------------------ <br /> Character of soil to a depth of 3 feet- Sand'[-] Silt El - Clay Peat E] Sandy Loom ,[] Clay Loam .Ej <br /> I location of-system in relation tawells, buildings�,/-.etc. must be placed on'r <br /> NEW INSTALLATION:—.,(No-'septic tank or seepage pit permitted if public sewer is available within 200 feet) <br /> ------------ <br /> Sanitation Permi # --_-__.------- Dote ---------------------------------- <br /> Septic <br /> Tok0pecifyRequirements) <br /> u = --� <br /> .. � - ----�--_--__.-___----'--..--_------'--'-'' <br /> ~ ` '-----^'—'--'7-'-----------' <br /> �����'����������'� <br />� ---'---'------'-�-------s� 6 iro6o�di�onomnsvere' nk�e) <br /> ' ^ (Dnzvvn*J existing required "= <br /> ^ r� �� �� � ��� �e �� <br /> will be done in accordance �� �m Joaquin <br /> certifyI hereby certify that I have prepared -,,' � m f ��� �=n Joaquin Km*a| Health District. Home owner or licen- <br /> sed <br /> Ordinances, State Laws, �n6 �wYe� and Regulations of �mq <br />� sed maents signature certifies the following: mm ���� �m� �ecw�" lm mw*� »mmmw� <br /> 'I ,�f 8 | h performancewfthe work for which this permit ly issued, U shall not <br /> - <br />' <br /> as Cw &m � of California." <br />� <br /> Signed -,� -' ~~^~By ' <br /> ---' -'���'��- _~~.- Tido ---- <br /> (if other than owner) <br />' FOR DEPARTMENT USE ONLY <br /> ' APPUCAT|ON ACCEPTED -7 x�''6 ~�����-�������'------.---.--'_- DA|E �n_-..�/-_-..~..=-� <br /> -' -^----- -- - D/�� -'---'- <br /> / 8U|O�N(� PERKA|T �8UED ---.-.-�_.------_'_--_--'--_-__-' ----'--- <br /> ` . ------._--_---__'-'--_-_-----_-------_-__--- <br /> ADDITIONAL COM N <br /> �._2 -�]�.��'-.------'------'---------'------'---'------'--' <br /> -- --_�-___-'--�_--_-'--_--' <br /> .-../_---._-- _'������ -��----�--.---_-_-.__- ------------------- <br /> ----------------------------------------- <br /> Date_ <br /> _-''--_-_'_--'_--_--.--.- '-�x----� <br /> � �~^ ���QU|N LOCAL HEALTH DISTRICT <br /> � ��x �°"w""~ ^��-^ ''~-`''' ---- <br /> � <br /> E. H. 9 1''68 Rev. 5M, <br />