Laserfiche WebLink
FOROFFICE U <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> ,A�pplicafion is hereby ma e to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinaup jNo. 149,!�� <br /> Installation will serve: Residence gr Apartment House E] Commercial [] Vrailer Court [] Motel [] Other Ej <br /> Water Supply: Public system & Community system [-I Private El Depth toWater Table -------- ft. <br /> Character of soil to a depth of 3 feet: Sand C] Gravel E) Sandy Loam El Clay Loam [3 Clay [3 Adobe[3] Hardpan 0 <br /> Previous Application Made: (If yes,date.------- ..':n)­Mo'[] -'Now Cninstru-ciJYes 50 No [] FHA/VA.. Yes [] No <br />� <br /> TYPE _ -INSTALLATION AND SPEC' _ .._ _� <br />� '°~ septic tank or ~~~s~o' permitted^ if r~~^~ -~~ <br /> er is available within 200 feet.) <br /> Septic Tank: Distance from nearest well------------:_.Diitance fromjoundation--Z ......M a t e r i a I If 4;�Ivl <br /> Disposal Field: Distance from nearest well--------------!-Distance from foundation... "'.Distance to nearest lot <br />' Privv Distance ' neon*� w�|-'L--''-''--''-''-''�D�+unce from nearest building' Distance to' nearest lot |ine--X-----------------------------------------% ..________---__..x-.---'--------------------------------- <br /> Remodeling and/or repairing <br />/ -----_/d..m�uzibe):------------------X�_^-' .__-._____- � ..___---------------------_---- -..__.__''-______- <br /> ! � � - ---_' <br /> _______--.---_-'.____.. ._-----__'--- -----'--'--'--� ''-- ---'-'--�----------- <br /> I o <br /> ------------------------------� � 1 <br /> _____.__________..__��__.___ __.__'____---_ _..__.___--__'- �-__-..-__------' <br /> ` and thatthe workWill be done in accordance <br /> with San Joaquin County <br /> ordinances. State laws, and rules-And regulations of the San Joaquin Local Health District. <br /> . � o <br /> � <br /> By: '~--, <br /> � <br /> (Plot plan, showing size mflot, location of system in rela�iiort to wells, buildings, <br /> I FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY_,_:2A <br /> BU|U]|NG' PER�|T ISSUED ~' ` D�TE' � <br /> | <br /> [ '-- - -`- --- -' ^ � <br /> ------------------------------------------------ ........ ------------------------------.------------- . <br /> ,------'_-_�._-_._-._��------------_---_--'--_------_---_----_.----'''------. <br /> --'-------'-'''-'-'-'''-'''-'''----'---''-''--'''--''-''---''-'''--''--''--'-----'---''-------'/ <br /> '--''-------''--''--''--------- ---- -- ------------------------------------------ --------------------- -------------------------------------------------------------------------------- <br /> ~ <br /> v <br /> ! ~7 -- ~- �� 7 <br /> � <br /> FINAL INSPECTION BY:-..�J- Duto -.,�---.�-.�__.�cx-.��.---.----- <br /> SANJOAQU|N LOCAL HEALTH DISTRICT <br /> \/ <br /> 130 South American Street 300 West Oak Street 124Sycamore Street z0oWest 9th Street <br /> Stockton,California Lodi,California Manteca,California Tracy,California <br /> "" 9 "uw°E" v',v om o'°` mm° <br /> / <br />