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FOR OFFICE USE. APPLICATION FOR-SANITATION PERMIT r� ------------------ ----------------•---- Permit No. --.1��c7 (Complete in Triplicate) Date Issued -- --------------- This Permit Expires 1 Year From Date Issued y 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 and existing Rules and Regulations: SIECaN/-} 97— 1 r Vc � S JB ADDRESS/LOCATION -- ---------------CENSUS TRACT ?.._.. Owner's Name ---- ��.v�. -----r3---tA-� -------• -----------------------------------•-•----------Phone --------------------------• -------- Address --------------'!`- - -•--• Cit -------------------- -------------------------------------------- --------------- Y Contractor's Name ----#fi- -''''r - -- - --------------- :--------------------------------------------License # --------- -------------- Phone Installation will serve: Residence ❑Apartment House(] Commercial❑Trailer Court Motel ❑ Other ---- - ---_- - - Number of living units------------- Number of bedrooms ------------Garbage Grinder ------------ Lot Size -------------------------------------------- Water Supply: Public System and name A__ -----"o-")- -}�----- -------------------------------------•- -------- --------------------- -Private ❑ � Character of soil to a depth of 3 feet: Sand❑ Silt❑ Clay ❑ Peat❑ Sandy Loom] Clay Loam Hardpan ❑ Adobe'❑- Fill Material ------------- If yes, type ---------------------------- r (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse side.) NEW INSTALLATION: (No septic .tank or seepage pit permitted if public sewer is available within 200 feet,) Liquid PACKAGE TREATMENT f SEPTIC TANK'[ ] Size------------------------------------------------ Depth p --------------------------- - Capacity - --------- Type -------------------- Material---------------------- No. Compartments ----------------. ------------------------ . Distance to nearest: Well ------------Foundation ---------------------- Prop. Line ---------- fir,` k LEACHING LINE [ ) No. of Lines ------------------------ Length of each line.------------ ------------- Total Length --------- ------------------ 'D' Box ------------ Type Filter Material --------------------Depth Filter Material --------------------...-----------------•--- > rtT Distance to nearest: Well ------------------------ Foundation --------- -------------- Property Line ---------................ Z SEEPAGE PIT [ j Depth -------------------- Diameter ---------------- Number ----------------- ---------- Rock Filled Yes [INo ti Water Table Depth ---------------------------- -------------------Rock Size ----------------------- -------- Distance to nearest: Well ----------------------------------------Foundation -------------------- Prop. Line -----------.--........ `f REPAIR/ADDITION(Prev. Sanitation Permit# -------------------------------------------- Date ----------------------------------) -� SepticTank (Specify Requirements) -----------------------------------------------------I----------------------------------------- ----------------------------------------- I Disposal Field (Specify Requirements) --- -------------------------- -------------------------------------------- ----------------------------------------------------------------------Ate`-------- ----------- ---------------------------------------------------- - -------------------- - ------ ---------------- ---- ----------------------------------------------------------------------------------------------------------- {Draw existing and required addition on reverse side) I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County Ordinances, State Laws, and Rules and Regulations of the San Joaquin Local Health District. Horne owner or licen- sed agents signature certifies the following: "I certify that in the performance of the work for which this permit is issued, I shall not employ any person in such manner as to become subject to Workman's Compensation laws of California." Signed --------------------—=1�p------------------ -----------------------. Owner ----------------------- Title ------------------------------------------------------------------------ [lf othejjtha owner) 0e EAR .DEPARTMENT USE ONLY ,,rr APPLICATION ACCEPTED BY ,d �' = ------------------------------------------------------------ DATE - "-- -- f --------------------- BUILDING PERMIT ISSUED.--.----------------------- ----------------- ---------------------•-----------------------------------------DATE ------------- ----------------------------- ADDITIONALCOMMENTS------------------------------------------------------------------------------- ---------------------------------------------------------------- --------------- F --------------------------------------------------•------------.---- - -------------------- __-_____--_-_------ - __---_---. p ---I- ------- - ------------------------------------------------------------------------ - ------ ------ Final Inspection b f?' ' , '-- ---------------- ------ - -- ---� -------------- ---------- ----------.Dat :' -- ---�-- - - --- - ------------------ SAN JOAQUIN LOCAL HEALTH DISTRICT E. H. 9 1-'68 Rev. 5M. . �g•n