4580 - Laserfiche WebLink

Home Browse Search

� APPLICATION FOR SAN�A�� PERMIT Permit No. 'Complefe in Duplicate) �Y Date Issued -- - tTtPe quin Local h District for a permit to construct and install the work erein described, T�plication is here 's application is made in compliance with County Ordinance No. 549. -------------------------------------------------------------- Installation will serve Resi ence Apartment House F] Commercial [:] Trailer Court ofel Other _ Number of baths Lot size Number of living units: _/---- Number of bedrooms 4V 4Z, Water Supply: Public syste MX Community system E] Private [3 Depth to Water Tablo-10- ft. Character o mw to a depth of 3 feet; Sand U Gravel U Sandy Loam U Clay Loam U Clay F] Hu��n �� Previous ApplicationMade: Yes Construction: Yo,��' No F1 ' ^ TYPE OF INSTALLATION AND SPECIFICATIONS: ' ~ (No septic tank or cesspool permitted if public sewer isavailable within 200 feet.) Septic Tonk: Distance from nearest peU---------- ------Distance from foundation--------------------Muturin|-_------__---__- No. of compartments--------------------------Size--------------------------------Liquid dap+h--------------------------Capacity , Disposal Fiel&/ Distance from nearest wO-----------------D�sfance from foundation--------------------Distance to nearest lot line--------------- , ~~ .,p~ of ..~ material Depth o" no, material Total xmgr � vu5�o P�� Distance +o U neares Number of F��'-�`�_--'U�ng m-- - c'' � '� �eo�'' ----� -'� � = U� � Cesspool: D�sfanco from nonros we}L---'-Distance from foundation-------------------- Lining moterioL----_----.. . []� Siz": Diameter------------- -------------------------Depth_''--'--_-----------'--'''''�-'Uqui6 Capacity_--------------------------gals. ~ Privy Distance from nearest woU ------------------------------------------- �Distance from nearest building '-''-_''-'_-.--'� �0� LJ Distance to noums* |o+ |i Domo6el/ng and/or repairing /6o,ci6oL--------------- -------------------------------------------------------------- --_-_.._________-_ -_-'---.____-.-__-_-_'---_._~-_.-_--_-_---__--_-_.'--_-----_--.---_--_----.. -----''---'----'-------''-----'--'----'--'-------'----''----------'--------------' hereby certify that I have prepared this licafion and that the work will be done in accordance with San Joaquin County ordinances, Sfa!r1jV, and les and regul ions f the San Joaquin Local Health District. lal 5, an les and regul f the -------- - --------------- - -----(Owner and/eoronfractor) ------------------------------------------ � FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED -Y----------'~~---------------------- "'`'^--'v,''f ��..,�� REVIEWED BY------------------------------------- DATE-_-______--_-__.�. -' BUILDING PERMIT |SSUED.-__.--''----'-'-'-'-_''''-''--'''--'''''-_-- Alterations and/or rncommnen6mtions:---------------- ------------------------ --------------------------------------------------------------------- ----------------------------------------------------------------------'---------------'---- �v -'----_'-'----'-''------''''--'-''''_---_-''----'''__''''-''-'''---''--_-'----'''-'�'-'--_''_ / --''__'---_--'-'--'-'--''''''-'''-''''''_''�--'''''--_-'---''''---'-'-_�'---'''_-''-'-_-''-'- '-'--'-'--''--''-'''''--''''''—'''''-'''�-'''--'''--''''--''''--'''--''''-'''-'''-'-'-''--- PINAL INSPECTION BY:---------------------------- ��-�� - Dofo '''-'''-' -°~^'-'/,''''.~ SAN JOAQ0NLOCAL HEALTH DISTRICT / 130 South American Street 30D West Oak Street 132 Sycamore Street 814 North "C" Street Stockton, California Locli, California Manteca, California Tracy, California o-y-uw Revised