15933 - Laserfiche WebLink

Home Browse Search

~.-~.- ----~--�'-c----- , FPR OFFICE USE: A/s�� = �� ^,r�� ^ ' ^ Permit No . ./Y?_ �J��U�� 4�� %UU ' ---- v8�l�° �� Qmn�caf�� ` / Dmfw |opmd _ _ e Issued ----' to �n6 �n��U t6��o, ��rw� ��o�r�w6 | mu6o Son LocalHealth C��6cthxo permit ° ' --� 'on is � deincumo|nooa ��h�(�uvnty {}nd|nmn�o No. S49 / �_ application . . LOCATION �� --'---'4JOB ADDRESS AND ��,—' 14 Owner's Num: _� Address..............._- �7 -'----------------------'----------- �� ^�� -------- Con�uinstallation ctoro Name--.'=�`..�.,-,°.,_.^«' .__ ment House |mstaUation will serve- Residonc.6 ^ ' ^ E] CommCommercial [] Trailer �CourtCourt �� Other, Otherr [3Nvmbe, of |ivingun|to: J. � ume,«o{ 6eJrooms .?��Numbornf6u+ho -L- Lot size _'-75--.._''*-.'v��'^--'- . Wafer Du�n�� Public system mm�CommunNy system [] Private [1 Depth TOWater Table --- ft.--'''^ — Character of sail to a depth of 3 feet: Sand [] Gravel [] Sandy Loam [] �wY Loam [:] Clay C] Adobe^~ Hardpan C] Previous Application Made: (if ye,,dote-------------------) No Er New Construction: Yes F] No PHA/VA. Yes K~ No [] ' TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or mwuspom\ ��, �i+�� if public sewer is available within 2�� feet.) Septic kDistance from nouroo+ *mU . .Distance from foundation. �Mutariu|------------- ---- -------- u�� ~ Nu of compartments--------------------------Size--------------------------------uqu� 6no�h .�[opacity....................... ' ^ Di Di stance from "em,mo' ~n|| � �� V/�nce � ��- �-_-0��e � n�� |� S� Num6or of lines------------I--------------------Length of each |�mo- .� �—�� of trench _� �� �._ Tvpo cfG|formo+e��- �V�e�-..Doo+h of filter mafaHuL-' �Ri ..Total length. ' ..- Seopu Pit- Distance to nearest well---A�;V ._�'D|�un foundation � ~......D\ tu to nou,a^tlot line-------5--- Number _ Num6or of p�fs-..-�---..Lini"g material Diameter-- D*o+�--.. ---------- 191 -_.-.-- �� ' \^, i! ^~^~^'°~~'' --Distance from neuro, well _---_Distance from foundation---.''�''-'Lining material-------------------- --. -�-u Diameter-_--_------Depth--��:r-----_-,_-_-Liquid Capacity----------------------- m. - n�� om nemr�� 6�|J|ng . . Pdvy: Distance from nearest weU------------��._--D��* �4. ~ D|�oncehoneurm� �� |�nn-r'-----------------------------------------------------------------------------------------___-_._-..-_-__-.—.- '_-_------. Remodeling and/or repairing (describe): .__a��,-'_ K -... f � --_----_-__._-_..____.-__-'---'-'--__-'_-.---'-_.--'''-__'-_-.'-''-''__'-'--'--'--.'-'--' )� .---.__-----.--_'__-'----''..___.--'_._-__.-__-_._---�'�___..—.—_-_--_---_--._-' , ---.._____'-___-__-''--_-----''_---_---_._-'-'__'-'-''-- -------'------'----'--'''--'--- | � 6 that +� ��, will be done *In accordance with San Joaquin County that � haverna work' hereby certify 6 | ' -I- � �on' 'xfthe San Joaquin Local Health District. mr6�mn*�v. orwnw mwa. and rules and regulations � 0, B� ��«an�° � ^ / (Plot plan.' showing size of lot, |oca�mi o� ,ys am in relation to wells, 6uikdlngw, etc., can be placed on reverse mdwy, \_ FOR DEPARTMENT USE ONLY ----------------------------- REVIEWED - �/+|/� - ----'--- ` BU|LD|NG' PERMIT ISSUED.._-----..__----_----__..__'-__--__—.. ___--__.---.. — Altmrmfimnumn6/mr ' -------'-_--..__-._'''--_---.--_---''--'--_--_.- � ��,��. -_''_-.-_.---' -_--.]��8��---.- .^��n�'.___-_-_._------_ '- -._-- ' '__---''-''-_.'--'''--''-_.---' .—.------__--_-_----------.v'_-_-_-'-_--�� .--._.4��.�/2=.��J---. ~ -�� ---..c.�^----'_--._---___.__. �_�_��_��__��_��___��__�-�_��__�_�_��_____�_�___��___��_�___�__��__�___��_�__��_ ~ . --- _ =@� _________ INSPECTION BY'--�^��'��m�.---.---'. --------- FINAL ^='"^---''~'-^''-------' SAN JOAQU|NLOCAL HEALTH DISTRICT 130 South American Street ovwWest Oak Street 1r4Sycamore Street zosWest 9th emw ' / Stockton,California u^ai'c*/w"rnia M*"te"n.California ,rm"v'*anfo".ia , Es 9 ncwmEn o'59 2w 5'62 ATLAS