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- - <br /> FOR wrnCEuuc <br /> APPLICATIONPERMIT' ~�= ' Permit No. <br /> = = (Conmp& Triplicate)ew[nTriplicate) <br /> This permit Expires 1 Year From Date Issued ��� � Date |uyue6 J-'m':;1A' <br /> Application is hereby made u` the San Joaquin Local Health District for o permit to construct and |nnhaU the work herein <br /> oemz/oeo. This application is mode in compliance with County O'6|nonce �No. 549 and nx7,o'ng Rules and Regulations.. <br /> JOB ?_a ^�'~ <br /> Installation will serve: Residence W-Apartment House,E] Co!mmerciaI ,E]TraiIer'C rt 0 <br /> Number of living units:--/------ Number of bedrooms ---Garbage Grinder Yo'V- Lot Size --------- ------- <br /> Character of soil to a depth of 3 feet: Sand'[] Silt Clay E] Peat-E-]'-S 6n_d�7 .0 l,___J <br /> ro�amc ay Loam <br /> Hardpan E] Adobe% Fill M. <br /> (Plot plan, showing size of lot, location of <br /> ysteA"n relation to wells,' buildings,—_ -- .._.. be '..^~~ ... ~.~.,~ s."= <br /> NEW INSTALLATION; (No septic tank o, seepage pit permitted if public sovvrr is ovoi/o6|evv|H`/n �U� �en�) "u <br /> ^ �~ <br /> PACKAGE TREATMENT [ ] SEPTIC TANK[ I <br /> Size------------------------------------------------ Liquid Depth -I- `- <br /> Copocity -----_- Typo -------------------- " oL--.----- No. Compartments i------- ----------- <br /> Distance to nearest. VVel| 0y <br /> -----'=-'_.` *��rong Prop. Line <br /> - ------- '' `0 <br /> LEACHING LINE �� No. of Lines ---.----- Length of nuc� |hnm-'�..~..' Total Length� �'.-' .—'-'��_ <br /> . Type R|�n &�u�eru) � DopH, �^- ^ df <br /> ~'~~.`= to .=".",. "e" it-----Foundation <br /> tDispos ----- ----------- - --------------- --------------- <br /> al Field (Specify Requirements) ---AC-7,6�?V:----- ---- <br /> --------------------------------------------------------------------------- <br /> (Draw existing and required addition on reverse side) <br /> 41 J11hereby certify that I have prepared this application and that the work will be clone�County Ordinances, State Laws, and Rules and Regulations of the Sa�o Joaquin Local H�lin accorclatice with Son Joaquin . <br /> sed agents signature certifies the following: ..A alth District'Home owner or ficen. <br /> ". certify that in the performance of the work for which this permit is 'i sued, �jl I <br /> I shall not employ any person in-such manneras to become subject to Workman's Compensation laws of California.­� <br /> � <br /> (If ot n owner) <br /> R ARTMENT USE! ONLY <br /> 11 <br /> APPLICATION ACCEPTED BY --- <br /> / <br /> � <br /> 8U|LD|NG-PER DATE <br /> ADDITIONAL ~~ ,...,.. " <br /> ----------------------------------------------------------------------------------------------------------- � <br /> —'--�_._'--_.—�----.—.—_.-��_._._''-_-'----.-- <br /> —.---.---'---------------------------------- --------------------------------------------- <br /> ---.—.-,_----''-----------_._'' ' <br /> Final Inspection" by .---'-��.----_.�--.----.—.-�Dote <br /> ~ .=-. ' � -'��_- <br /> J[AVQU|N LOCAL HEALTH �|�TR|[T <br /> ` <br /> ~ - � <br /> E. H. q ]'�8 Re �k� <br /> ' . <br /> � - <br />