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f <br /> R USE: <br /> = APPLICATION FOR SANITATION PERMIT Permit No. _4_4:4, az <br /> m <br /> (Complete� -` in - ' Date I�irl This Permit Exiiiires I Year From Date Issued ssued <br />' San Joaquin Local H Hh District for a permit to construct and install the work herein described <br /> This application is made in compliance with County Ordinance No. S49. <br /> �Owner's m �*c�*�� -.---------------------.. Phone.........--------.........-...... <br /> �66 -_--'-.--.---_-.--...--_----. <br />. <br /> Contractor's Name----------- u] -.-T'-A.....................................-.- --------------------------------- Phone................................... <br /> Installation will serve: Residence [Er-Aparfmenf House E] Commercial L] Trailer Court C] Motel 0 Other C] <br />, <br /> Number mfliving units: Number ofbedrooms ----2 Nom6a, of baths ...1-' Lot size .....07��k���..`'----.-.---.-�' <br /> Water Supply: Public system [rCommunitysystem 0 Private 1-1 Depth -ro Water Table 4A ft. - <br /> � ' <br />� <br /> Character of soil to m depth of feet: Sand [-] Gravel 0Sandy Loum [] Clay Loam [] (�|ay [] A6o6a��~Hm,6�wo �] <br /> ' <br /> Previous Application k4mdm: Ufvos'dote--------------) No E- Now Construction: Yes [] No � FHA/VA. Yeu0' No <br /> TYPE OFINSTALLATION AND SPECIFICATIONS: <br /> (No septic tank � wJ �mr��� � public ���wr �� available within 200 feet.) <br /> Septi nk. Distance from nearest well-----------------Distance from foundation................... <br /> � <br /> No <br />� - Noofc��p*'tAon�------�, Sl ^ . . Liquid 6oFk .Cap�6y ---.:~ . . _ I . Vj <br /> Dis N Fj Disfuice from nearest we| �------44-Distance from foundation / D{sta to <br /> �� ||na'�_' <br /> vI /Num6o�-of |inoo � ' Lanof� of ------------------------------����� -. Width cf tm°nch ~ �.^--._-_- <br /> Type of filter material. --Dvp+6 of fi|te/mnterioL/u�°-_-Tofu| 1angfh-����-'-_.-'_--------- <br /> Seepage ' ' - ` <br /> R+' Distance to nearest weL..����_. �kL _- to nearest lot | <br /> Num6o, ofpi�'[..J^---.-Uning mute�mij�����--S�e: Dimmotor-.�;�°-_'Doot�--����-''---' <br /> ^ | <br /> Cesspool: Distance from nearest well '---'-Distance from foundation--------------------Lining mofarioi--''-'-'-'----'- <br /> [] S6a: Diameter-------------------------------------- ---------------------------------------------------Liquid Capacity---------------------------- <br />. <br /> Privy: Distance from nearest well -Distuncefnom nearest building------------------------------------------ <br /> [] Distance to nearest lot line---------------------------------------------------------------------------------------------------------------------------------------------- <br /> Remodeling and/or repairing (doyzibe):-----------------------------------------------------------------------------------------------------------------------------------.................... <br /> ' � <br /> --''---'-'--''---'--'--'-T'------'---''--''--''-----'----'''--''-----'----'--''-�-'--'-''-'---' <br /> --_--____--_-'.'-_-------.'--^___----------_---'-_--___-_-___-_----_--_---_-._--' <br /> � � . . . � <br /> ------------------------------------ -'--------- <br /> . ^Prepared thi� application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and r ies a regulations of the San Joaquin Local Health District. <br /> (Plot plan, showing size of liot, locafi in of system in relation to wells, buildings, efc., can be placed on reverse We). <br />| <br /> APPLICATION --- ----~Y__7 ''�' <br /> REVIEWEDBY---------------------- ---------------- --------------- --------- ---- ---- -------------------------------------------- DATE---------:.7/- --------------------------­----- <br />| /­ <br /> BUILDINGPERk4|T ISSUED..___ //. <br /> M <br />' <br /> Alterations �mo mn�/*r re*���wn� �nu�-- --.�~����`-- ~ --------------------------------------------------------- <br /> - <br /> ___-_-_-_-___-' <br /> '-'-'-'--'---'''-'-'---''--''-'''-'--'''---''-_.-'-`�''--''--'''-_''-''-'-'--'--'-------_-- <br /> '-----' '' —'' -'-- ' ' -' ---' - -'''— —'---' <br /> '-'--'--'''-'''---' '''' ' -'''--'' .-'-'--'- <br /> .-''-_'-'_'--_-- -'----'-- <br /> FINAL INSPECTION B ------- <br /> ---- --- '-^. <br /> SAN JOA IN LOCAL LTH DISTRICT <br /> 130 South American Street 300 West Oak Street �� 124 Sycamore Street 205 West 9th Street <br /> Stockton,California Lodi,California Manteca,California TraCYr California <br /> cmpREVISED n'n9uws'azATLAS <br />