Laserfiche WebLink
` <br /> �;�������� ��� �����T �� ���� �m� No <br /> ' _ <br /> in Duplicate) Date Issued <br /> `Jmade to the San Joaquin Local Health District o permto construct and inshaUthe wu, herein 6oec�bn6 <br /> � � <br /> / a. .��� � ��e |n mm��n� with No �� <br /> JOB ADDRESS AND W O�N___&_ --- -- ------ ... ------ <br /> -------------------- <br /> Installationwill serve: Residence U5~-AparfmentHouse El Commercial E] Trailer Court [] Motel 0 Other E] <br /> ` <br /> Number units-. Number ofbedrooms Z Number of baths 1- Lot size - ^^0 ~X.. ----------------------- <br /> Water <br /> ^-_-_Water Supply. Public system munity system El Private [I Depth to Wate, TableV,ft. <br /> Character of moil to m depth of 3 fee+: Sand E] Gravel 0 Sandy Loam [] Clay Loam El Clay 11 Adobe Fj-�Hardpan 0�� <br /> Previous Application Made: Yes [] No ��-- New Construction: Yes [] No <br /> TYPE OF INSTALLATION AND SPBC\RCAT|ONS: <br /> /No septic tank or cesspool pn,mlffod if public sewer isnvmUa6| � <br /> e � hin 200 feet.) <br /> Septic Tank: Distance f U Distance from foundation--------------------Material <br /> ----------------- <br /> Disposal '"'"� "'^'"'',° from ^`~'``' Distance''`''~^---' --- from foundation-- --- �~ ' I Num6ur oJ | Lono+ ofeuc6 Unn'- of �ench''������-''-'~- Type Depth <br /> of �}+ermote�uL-�°��----Tota! |eno+ --����-,---_-fnxm n6 " uono: to noun:� |n+3ee u P�� Di,tunco tn neu,os+ �en.wr����,_.u'�an �� anon-��.�-'--u/ �-,-"- Num6a, cf pi�-'/----iining mu+n'io|. 'S�;: Diamm+oc.��.��---Dept6-_?���--.---Ce- |� D�f nco �om noaro, w�L.-----D�tancefnzmfoundaf�n-_----�n|ng mofo,�L_-.-----''---_ <br /> �_]� ��� �fo Depth �quiJ ��poc�y .�ob <br /> ^ � Diameter . ----'----���------' ----'--c-�'' ' <br /> Distance from nearest wvL''-''--'�_''-'''-'-Dis+vnce from nearest bwU6ing'----''--'-'-''- <br /> Distvnceto nearest lot line----------------------------- -------------------------------------------------------------------------------------_--_______.� <br />/ <br /> Remodeling om6/ur repairing (describe):'-''�-'''-''--''-'--_'_______.-____________________ ____________ <br /> ---.___--_--__--__..-__.__..__-_--_-_----_..__---__-_-_'-_.----_----_------ <br /> ----------------'�------------------''--------''--------------------------------------------'------'����--------''---------_-----__------'_---_�--______-------___���_�__------'---_---- <br /> '��---.'----''----''---''-'__.'---''_---_.___'-'-_'-_.--_.''-_.----'_-'''--__-.---'-'-'--_- ---- <br /> I hereby certify <br /> that'| have prepared this application and that the work will be done � accordance with San Joaquin County <br />^ n,Jinanpay. State |aws, and rules and regulations of the San Joaquin Local H*w|H` D|st,�f' ~ <br />! ~~ ' ���n���>nr) <br /> ��n -------------'"rw~�=r-a`'�v° . \ <br /> 8v _----------__-_-�----\/ --------- ---' ! <br /> (� ��. -showing size of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). � <br /> ' <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED 8Y.'' ----------------------------------------------------------------------- u«/E <br /> REVIEWED BY '-'---- ����? ' ��� ' ' Q8|E-� '' <br /> HU|LD|NE <br /> PERMIT |SSUED-__._----_--'_-_-__---__-----_-. D�TE---.__--_--'-'_---- <br /> Altoru+kon» and/or recommendations:----------------------------iA--------------------------------------------------------------------------------------------------------------------------------- <br /> -------------------------------- -.'''--'''-''''---''-''''-'''--'-'--''-_.'''-_--'-'''----''-_''--_-_'''-_''--'---. <br /> -----------------------------—''--'''''-'''--'''-'--''-''~''--'`'---''-------------------------------------------------------------------------------------- i <br /> ---------------------- ''-''--'---'-''''-''''-''--' ---------------- --------''-''''_''--'---''-_''''''_-''------------------------- ^ <br /> �'-''-''--''-_'�- ------------------------- '--''-'-''-' <br /> - <br /> FINAL INSPECTION BY:-'--'-' -''--'-' uu�� j '/.�`^-.~^' '--'''--''-' <br /> l <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT � <br /> /xoSouth American Street moWest Oak Street /ooSycamore Street u|* North ^o^ Street <br /> Stockton, o"|*","� Lodi, California Nw"�=°. cm|Hon�* Tracy, California <br /> � <br /> ' <br /> ES-9-2M 10-52 x",u°cy�//oo _ <br />