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Permit No <br /> APPLICATION FOR SANITATION PERMIT . -z��-���'�-' <br /> ' <br /> / ^ ' kCmma�_ta in Dmo�cafav <br /> Date Issued --- <br /> Application <br /> u6o to the San Joaquin Local Health District for u permit to construct and install the work herein <br /> Th ' <br /> mJ�ut�ni �� l || ��hCovn+yC>n�i N 549 <br /> JOB ADDRESS AWCATION__3----6-1- -------- -- ---- - -- <br /> I Phon <br /> Contractor's Name---1! cz_�d -------------------------------------------------------------- OnE�� <br /> Installation will serve: Residence . Apartment House 0 Commercial L] Trailer Court E] Motel E] Other <br /> Number of living units: Number of bedrooms Number of baths -1---- Lot size ------------------------- <br /> Water Supply: Publi�: system E] Community system 0 Private jg' Depth to Water Table ft. <br /> Hardpan E] <br /> Character of soil to a depth of 3 feet: Sand [-] Gravel [] Sandy Loam F] Clay Loam X Clay E] Adobe E] <br /> New Construction: Yes ;< No Ej FHA/VA: Yes El No X <br /> Previous Application Made: Yes [] No V_ R—%% I <br /> TYPE OF INSTALL�TION AND SPECIFICATIONS- <br /> (No septic fa:k or'cesspool permitted if pu6lic sewer is available within 200 feet.) <br /> Septic <br /> ��' iddepm.��17- Co <br /> �- - compartments ������ ' ,�^' <br /> Disposal Field: Di�once from res well ��x � <br /> uan ffoundati�n_-.2— Distance to nearest lot line-- <br /> . ,. ". trench lines �� eocx / _-~= '---- <br /> "ypof filter mufn,�| . of filter nmtu�uL-�-^/���� 'Tot | length ------ <br /> loeuog* H+� Distance to nearest w�|�-''_''''D|�nnce from foundmt�n'--.-'-_-D�+oncefo nearestlot 8no-'-'--- <br />� - ' N 6urofp�� Uning mute�o| S�e' Diameter------------- ----------Depth--- ---''-'-'-''- ^ <br />� <br /> Cesspool: Distance from nearest well umu"."" from foundation Lining~. ----- -'-'-''-_- <br />| Dept Liquid Capacity- e�� <br /> -------------------- <br /> ' �°�"�""'y and' !!repairing <br /> 11------------------------------------------------------ .- -^�_p"�~*°-'' ---'--------'---'-- �� <br /> -�`----__.-''�--'''--.'-_-�__.'-_-'-__'-_.-- ----_�_�''-�'-'''__-'----''-''--'-- - <br />| --''--'-------'-------------'--'—'---------�---' <br /> pr I P application and that the work will be done in accordance with San Joaquin County <br /> ordinances, Stat ws, an rules r g ions " San Joaquin Local Health District. <br /> By--- --------------------------- -- -------- <br /> 2 rse S. <br />` (Plot, _ -- <br /> plan, ~ . <br /> FOR DEPARTMENT "=" ^^.`L. <br /> REVIEWEDBY'''-'-'__.'--.-''-''���'�------��.--'-'-''-'''--''^''�-- DATE------------------------------------------------------------ <br /> BUILDING PERMIT!!ISSUED DATE------------------------------------------------------------- <br /> | -- ' men6at�n� <br /> . A�*raGonsand/or ,pcom ----------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> ._._---___ ----------------_--._._---------------------------------------------------------- --------------------------------------------------------------------------------------- � <br /> ----__'--''---�'_-- ''''''__.-''-'''---'�'-'''''''''''''-_'''''--'''-.-''--�-_-'''-''_��-''--__'-'- , <br /> ; <br /> '. _- ' <br /> � .---'-'-_--.-----------__-_-__.—_-.---.. <br /> ---'--''--�-�'----'''-__-''-''_-'--' ----�_ __.--_-'--'-'-''-' <br /> _-.--''-'''-�'''---'—'--_-'-''''-'''''--------------------------- <br /> ------------------------------------ <br /> h" -'''-''''''' <br /> '-'''-_�'-'--- <br /> FINAL INSPECTION 8Y ''-- Du�� ' � <br /> ` ��- ' - <br /> �- SAN J ��'0N LC��°�LH��LTH �|�T�Q�T <br /> {� <br /> 130 s^"m ArnericAnstr°et 300 West Oak Street /sx sv""mvre Street o/* North "C" Street <br /> Manteca, California Tracy, California <br /> Stockton, CaliforniaLodi, California <br /> [ s�-�-�� u°.�°n 1.57 �pco <br /> ^ " <br />