Laserfiche WebLink
FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT ........... <br /> This Permit Expires 1 Year From Date Issue �t <br /> --------------------------------------- --------------- Al work herein described. <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the <br /> This application is made in compliance with.County Ordinance No. 549. <br /> JOBADDRESS AND LOCATIO"_'..'�Z___��_-'a- --------fi�r------ ------------------------------------------- .............I-------------------- <br /> Address......0.41�...... ------------I---­------------ - <br /> Contractor's Name-----_--------*-444w�, ----------------- --- ---- ----------------- Mot 1 0 h <br /> Installation will serve: Residence 12 Apartment House El Commercial [] Trailer Court t er <br /> Number of living units: ....L Number of bedrooms __,;--- Number of baths jl��L <br /> ` <br /> Water Supply: Public system El Community system 0 Private W Depth TO Water Table JA?ft. <br /> Character of soil to w depth of 3 feet: Sand ,Gravel LJ Sandy Loam [I ` a/' ^.~�^ F] ~-, ;!IL-Adobe 14Hardpan <br /> C1 <br /> Previous <br /> Previous Mm6w: Ufyes,6ate---------f�t=} �� S New Consfruction. vesoNo[D ' � '[D�1 Nog- <br /> TYPE <br /> ^g-TYP£ OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if pubric sewer is available within 200 feet.) I <br /> Disposal Field: Distance from nearest well_-1 +Distance from foundafio d---------Distance to nearest lot 11------2-------- <br /> Oro -.Width of trench-Z-0/--_------------------ <br /> Number of lines---- Length of each line--. -A-/Y-.Total <br /> �-~- Distance from nearest weU--_---.--_-----u/�mn�= `,�`. "=�.=�. ~.....�-_-'__-.___--- <br /> Privy- Distance to nearest lot line ------------------------------ __'_-__ ------------------_--------------------__._______._ <br /> / '---'''--'-_''__.--''_---'__.'--___.''-_-' <br /> ----`-----------'-'--''----6 this ''� 6 that the work will be 6vno in accordance with Son Joaquin County <br /> t�m+ | h pp and <br /> ordinances. ate la S, a d rulles d re ulations of the San Joaquin Local Health District. <br /> N -and/or Contractor-1-a., <br /> - r'y^~~�_'�°~^.~___ ____. <br /> --'-_-'-----'-_.'-_'^. ._---_-_---------- <br /> nV�-'—'---''---------''---'-'''--'--'' �� ��ne� u�a1 <br /> -------- <br /> (Plot plan, showing size of lot, |wcm+�n mf �sfemin ,e��on +wwo|�. 6mi|dYng^, at*,. can .- �m rmvum� ' <br /> � <br /> FOR DEPARTMENT USE ONLY <br /> - DATE.ACCEPTED OY. ----'----_''-_''--'-'_- _-'--'--'-'- <br /> ' '---------- ---------------------- <br /> DATE-----�Z.77:-;Z_�� .___- <br /> ---------- <br /> . .REVIEWED 8Y- - ---''--''--'-''-'---''-''- ' �� ` <br /> ---- DATE|SSUB]'--'--''-'''-'''-''_-''-'-_-_''`�.,--'"-_---- --'-'--'--' <br /> �__._--__-__._—' <br /> Alterations and/or recommendations: <br /> ----------- --- -- --------/-1 --- --------- ................. <br /> SAN JOAQU\N LOCAL HEALTH DISTRICT ' <br /> - vv�w°m�"u*�° 1z*S�"m=°s*e° xwsw=tn*��w <br /> �ums""�����*"o�°� . <br /> Stockton,CaliforniaLodi,California Manteca,California TraCYr California <br /> sm y ncvsco n'=m cm o'az «rL«o <br /> -~ = <br />