Laserfiche WebLink
R OFFICE USE: el <br /> --------------- - �� - ----------- <br /> - <br /> - c <br /> --- -----------------ftp'- APPLICATION FOR SANITATION PERMIT <br /> Permit No. ........_..lr _3 <br /> -- --------------------------- ------------------ - (Complete in Duplicate) <br /> -------- This Permit Expires 1 Year From Date Issued Date Issued ....1 ------ <br /> Application is hereby made to the'Sari Joaquin Local Healfh District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND LOCATION------ � Gam.• ? -r7� <br /> ------------------------ .................................._...... <br />! Owner's Name..... 1.114 ?----------------------------------------------------------------- -------•-- ------ Phone//49 ----- <br /> Address- r'�S'/� 14 1----------------------------------------------------------------------------•------------------_----- --------- ............................. <br /> Contractor's Name-------Tom.. ,..f�f� 1! /.. h!_., G/YS !ILS ° Phone/v4 6 f 60 <br /> Installation will serve: Residence'E.T"'Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: . ___ Number of bedrooms '�-'__- Number of baths I--- Lot size ....a" _s,__ .__..fl _______________________ <br /> Water Supply: Public system p' Community system ❑, Private ❑ Depth TO Water Table _6V_ ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam e Clay ❑ Adobe eHardpan,❑ <br /> Previous Application Made: (If yes,date____________________) No E' „ New Construction: Yes ❑ No Rr FHA/VA: Yes ❑ No❑i' <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: ` <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank- Distance from nearest well_________________Distance from foundation--------------------Material------------.------------------------------------ <br /> El <br /> No. of compartments--------------------------Size--------------------------------Liquid depth--------------------------Capacity....................... <br /> Disposal Fie Distance from nearest well./�VIV,15_Distance from foundation.ff?__?......Distance to nearest lot line.....L57_1..fZ W <br /> Number of lines------------/------- <br /> ------Length of each line--------.:42A_0`......»-_.Width of trench----------A i -- .____-__ <br /> Type of filter material._Ti�a+x---------Depth of filter material...___l --------Total length____._....�Q'_------------------- <br /> Seepage Pit: Distance to nearest well_,4/O/✓4'....Distance from foundafion__1t <br />