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Al APPLICATION FOR SANITATION^' ''~ ``PERMIT pi o <br /> rmitNu —.. !� <br /> | <br /> (Complete � �unK�mfe � <br /> |� '�����` Du+n |am�o6 <br /> lication is <br /> Ip <br /> hereby made San Joaquin Local Health-District for o permit to construct and |nstaU�he work herein described. <br /> '�io application is made in compliance with County Ordinance No 549 <br /> ---------------------------------------------------------------- <br /> Installation will serve: ResidenceX Apartment House E] Comm6`rcial [] Trailer Court E] Motel E]. Other E] <br /> Water Supply: Public system El ' Corri'mu'ri'ify system A Private E] Depth-to Wate'r fable -­_�__ ft. <br /> Character of soil to a depth of 3 feet:: Sand El Gravel E] Sandy Loam E] Clay Coam El Clay 0 Adobe 91 Hardpan F1 <br /> Previous Application Made: Yes E] No New Construction: YesX No E:1 PH' A/VA: Yes Ej No <br /> TYPE OF INSTALLATION AND SPEC I FICATIONS: <br /> (No septic tank er'cesspool permitted %blic se,-,.wer is available within 200 feeff) 1. <br /> /Wistance from foundafion/5- ---------------- <br /> ' -- --- <br /> No. of compartments <br /> D'I s FieA: Distance from nearaf w 1111_�_440.,Mistarice from-foundafijn- __�-----�istanc_e to nearest lot <br /> Type of fifer maferi�,.W___ <br /> Seepa�vpit: Distance to neares�wellt <br /> ------ -------Dista fr qu ation_10._)!�_ Distancp to nearest lot line- <br /> Number of pits-_ m ou <br /> E~ - � - . � ' -- - r------------------Liquid Capacity <br /> � ----_--..g_- <br /> Privy: Dbt nco from nearest wvL''—'-'''' "-----------------------D�tomce from -nearest <br /> 'building----------------------------------------- <br /> F1Distance fo nearest |of1ine�-_����'������-''---'�'-'--_-'-----'_---'--`--'''-''_--''���'�� <br /> ' ' . .�� <br /> ' <br /> Remodeling and'/or repairing (describe):-------------------------------------�'-'-''-_-'__.--__''-----_______'_____---__________._ <br /> I hereby certify that I have prepared this application and that the work-will'be done'i <br /> ordinances, State laws, and rules and r ulatio/nsof the SaniJoj in Local Health Disfric.f.n accordance-with Sa.n Joaquin Counfy <br /> 0 wells, buildings, efc., can The placed on reverse side). <br /> (Plot plan, showing size of lot, location of system in relation" <br /> FOR DEPARTMENT USE ONLY <br /> iJ <br /> BUILDING PERMIT ISSUED. / � <br /> -_-_--_--------_-__-.----_----.-- OAT�..,��,_-._.�---_._______ <br /> AKu,u�unoand/or rocommmen6a�nnx�..?_._'------_---_____�--_-_—..�._--_-__..__--.--____.__. <br /> . <br /> '---'--r--------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------- <br /> ------------------------------------------------------------------------------------------------------- ------------------------------------------------------ ------------------------------------------------------------- <br /> ------------------------------__-------------------------------------------------------------------,_,- �'-_''---''----'`---'''--''--'-'''-''-'-'_-.'-. <br /> '---.'-''''''---'''_''''-''''-- -----------------�--''''_'''''--'''-_''-''''''-'''-''------ . <br /> � I i. ~ <br /> - -~ �^ <br /> FINAL 1NSPEI7|ON ''��. - - Do+o'.'��'--�'--,''-'''''-'-'''--'-__- <br /> ' `_' - <br /> SAN JOAQU0N LOCAL HEALTH DISTRICT ° <br /> /so sv.m American Street 300 West Oak Street /uz Sycamore Street o/* North "C" Street <br /> a=kt*". California Loai, California wmn*mm. California rmx» California <br /> s»-v-«wx°.is"a 1-57F.poo - /J <br />