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� — ' Permit No.� »�[ ��]� � � FOR SANITATION ���� [� � <br /> -------- <br /> (Complete <br /> "�' <br /> kCom�etmin --' ---' - � <br /> Date Issued <br /> . <br /> ' So D�f fora permit to construct and install the work �erein described. <br /> "= "pp"ca."". ., ".a"w in ux,.p/a.um with County Ordinance" m <br /> Owner's Name----------; <br /> / <br /> Contrac+ors Nome-'' '--''-----'----''--- Phone-- <br /> Installation will serve; Reside Aparfmonf-House . Commercial [-] Trailer Court 0 Mote 1 0 Other 0 <br /> � <br /> Number of |k�ng units.'--/-..- � <br /> Number 6e�room �2-. Number of 6uH`, __/---�/- Lotsize <br /> ]�}__..___—.. <br /> Water Supply: Public syste-X Community system F] Private E] Depth to Wafer Table ? \ <br /> Character of soil to a depth of 3 feet: Sand 0 Gravel El Sandy Loam 0 Clay Loam E] Clay D Adobep�' Hardpan E] <br /> Previous Application Made: Yes E] N 0 New Construction: Yes E] N <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest welle�__ -----�_Disfance from foundation--------(f------ ?---------- <br /> Disposal F;eIGL) Distance from nearest well-----------------Distance from foundation--------------------Distance to nearest 16t line----------------- <br /> Seepage Pit: Distance to nearest D i s t a n c e f n------ <br /> f 0 4fr m <br /> i ifo dafio ---------Disfance to nearest lot line-__0-------- <br /> 7---------Lining ma ia r----17-12------ <br /> ------------------------------------------------ <br /> I hereby certify that I-have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances. State laws,.0�rules a;n��e�gu ations of the San Joaquin Local Health District. <br /> � <br /> (Sign <br /> '^e^- '---- '`-'-- -'-'- | <br /> -'___.' _-''-''''_-_'--_--_' '''`.._ <br /> � � '-__''-''' m ~ '` <br /> (Plot plan 6 � n �� � <br /> `.� <br /> ' <br /> FOR ~^. ~~..^.-. ~~^ ~.,^. <br /> APPLICATION ACCEPTED BY----------- ----'''--'---'''-_.''--�_.'' DATE.'---'�� <br /> REY|EVVEO BY--------------------------------------��—�-�6> ------------------------------------------------------------------- DATE------------ <br /> BUILDING PERMIT |SSUB].. ^---------------------------------------------------------- <br /> D�TE'---__-_-_---.-_-___- ` <br /> A�w,wt�n, wn6/�r ,ec��mnn�a+�no�''_'`'�_'-�- -- -- - - --- - - ---- - --- - - ' --- - <br /> - - - - --- -- - -- ---- --- -- --- - <br /> -- -- - - -- <br /> - --- - - -- <br /> -- - - --- - - - - - - -- - - - - - <br /> ---- --- - - - - - - -- - - '--- - - - ---- -`_.---___ � <br /> -- --- - --- ----- - -- -I-- - - - - ----- - - - --- - - - - --- - -- - - ---- - - ---- -- --- -- - --- --- -- --- -- <br /> -- - - ---- --- _-.''''__-'''''-''--'''--'''''-'-'-_'''---''--'''''-'''''--''--''''-_-''--''--'''__�-_ <br /> � / <br /> ''-''-''_--___-' ---- - - - - - - - -- - - -- - - - - - - -- - --- -- -- - - - --- - - - -- - - - - -- - - -- - -- - -- - - - -- - -- - <br /> \ � J - 1 <br /> FNAL INSPECTION BY:'-'''����''��& ---''--''-'j Do�* �� � � �7/ � <br /> ' --'�-''lr'' -- <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> /wm South American Street 300 West Oak Street mc sv"°m"re Street xw North ''o^ Street <br /> Stockton, California Lodi, Calif^,n|^ ' k4^^+°m. C*|no,n(o Tracy, California <br /> ES-9--2M a'o nem/"vd vv�/uo <br /> . / <br />