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.6 _ ,7x <br /> APPLICATION FOR SANITATION PERMIT I0�0 Permit No. ._....-- <br /> (Complete <br /> ......(Complete in Duplicate) Date Issued --- <br /> Applica"ion is hereby made to the San Joaquin Local-Health District fora permit to construct and install+he work herein described. <br /> c" <br /> application is made in compliance with <br /> This apaCounty Ordinance No. 549., <br /> JOB ADDRESS AND LOCATION-----3---3. 5-- <br /> ---San Nateo St <br /> ---------- - ---------------------. Stock on---------------- ----- ------------------------------------------------------------------------------------ <br /> Eamund N. Atkinson HO 4-3-1-30 <br /> Owner's Name--------------------------•----••------ - ------------------------------------------------------------------------- -------------------------------- Phone-------------------------------- <br /> I <br /> Address------------------------------------------------------ - -Same-------------------------I--------------------------------------------------------------------------------------------- ------_--------------- <br /> PARRISH & SONS$ IN C . Phone------ 69607 <br /> Contractor's Name-------------------------- ---------- -------------------------------------------------------- ----------- ....... ------ -------- <br /> Installation will serve: Residence [NX Apartment House F] Commercial E] Trailer Court E] Motel E] Other E] <br /> Number of living units: ----1- Number of bedrooms ....2- Number of baths 1------ Lot size -- - -- --X--651 120 ' <br /> - - -------------------------------------- <br /> Water Supply: Public system @C Community system E] Private E] Depth to Water Table ---40?t.- <br /> Character of soil to a depth of 3 fee+: Sand E] Gravel [-I Sandy Loam El Clay Loam E] Clay E] Adobe EpHardpan E] <br /> Previous Application Made: Yes L] No MC New Construction: Yes [:) No E] Supplementary Drainage <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 fee+.) <br /> Septic Tank: Distance from nearest well-- _------- - -Distance from foundation-------_----------Materiai------------------------------------------------- <br /> tqxiS.ting No. of compartments--.---- ------ -----Size-----------------------------_Liquid depth--------------------------Capacity-------------- -------- <br /> Disposal Field: Distance from nearest well.................Distance from foundation------------------- Distance to nearest lot line-_____----.._.-_. I <br /> ®Xisting <br /> ine---------------- <br /> [nXiSting Number of lines-----------------------------------Length of each line-------.----------: ---------.Width of french----------------------------------- <br /> Type <br /> rench----------------------------------- <br /> Type of filter material-_.. of filter material----- -----------------Total length----------------------------------- <br /> Seepage Pit- Distance to n.earest weal_.NOM_ ion-------15 1 : Di t to nearest 12f I�eio <br /> ---Distance from founclat is aLoce ----------------- <br /> Number of pifs_ --Lining material....Brick - - r I... 5 j <br /> ----------Size: Dieim�efer___ <br /> ----------L;VP1 -------------------------- <br /> Cesspool: Distance from nearest well-----------------Distance from foundation.--.-._--_--.-----..Lining material__._....-----.__-_._--_-.--..------- <br /> r� <br /> ❑ <br /> aterial-------------------------I-------- -- <br /> F-1 Size: Diameter---- - ----- --------- ------- -------Depth------ ----------------------- -------------------.-Liquid Capacity---------_----------------- a <br /> s. <br /> Privy: Distance from nearest well---------------------------------------------------Distance from nearest building.__--_-.-_----------._.______..._.__.__._. <br /> ElDistance fo nearest lot line..........---------------- -- -------- ----------------------------------------:---------------------------------------------------------------- <br /> Remodeling and/or repairing (clescribe�:-------- - ---------------------------------------------------------------------------- -------------- ------------------------------------------------ <br /> ------------------------------------------------------------------------------------------------------ -------------------I------------------------------------------------------------------------------------------ <br /> ---------------------------------------------------I­­------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> -------------------------------------------------- ------------------------------------------------------------------------------------ ------------------------------------------------------------------------------- <br /> I hereby certify that I have prepared ap tion and that the work will e done in accordance with San Joaquin County <br /> In " , Sa Jo <br /> t ordinances, State laws, and rules ron s -0 Joaquin Loc A District. <br /> PARRISH & SONS, NC. <br /> (Signed)-------------------------------- ----------------0...----....... ------ ------ ---------- ------- --- -------------------ef-------------- PUI��r Contractor) <br /> By----------------------------------------------------------------- -------- --- -- ------ ---- --------- -- ----- - -----------(Title)----.Estimator-------------------------------- <br /> -- ----- - --- <br /> in <br /> Loc th D <br /> .... .. ... ......... <br /> (Plot plan, showing size of lot, location of��diem in elation-+o wells, buildings efc.-, can be placed on reverse side). <br /> /FOR DEPARTMENT USE &LY <br /> APPLICATION ACCEPTED BY.- ----- ------- - --- <br /> ---------------------- DATE---- ------------------- <br /> REVIEWED BY------------------------------------ --------- ---------------- <br /> ------------ --- <br /> - DAT ------------------------------------ <br /> BUILDING PERMIT ISSUED---------------------------------- ---�ef ---- --- —------------ DATE--------------------------•---------_--•------------------- <br /> Alterations <br /> _-------------------Alterations and/or recommendations:--------------------- --------------- --------------------------------------------------------- -------------7-•-•---------------------------- <br /> 1 ---------------------------------------------------------------- <br /> -----::----------------------- <br /> ----------------------------------------------------------------­---------­------------------------------------------------------------------------------------------------------------------................... <br /> ----------------------------------------------------------------------------------------------------------­-----------I-------------------------- -----------------I—­-­---------------------------------------------- <br /> -------------------------------------------- ----------------- -------------------------------------------- --------------------------------------I------------------------------------------------------------------------- <br /> ------------------------------------------------­­-----------------------------------------------------------------------------------------------------------------------------------------------------------I------------- <br /> FINAL INSPECTION BY:--'-:::6v --------- ---------------------- Date-----5;-_------ -------- ---------------------------------------------- <br /> • SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street <br /> Stockton, California Lodi, California Manteca, California / Tracy, California <br /> F5___9_2M 145445 ATWODU <br />