Laserfiche WebLink
^ <br /> u/. <br /> FOR OFFICE USE: <br /> - -`Jr ' ____.____ _ , <br /> - N FOR SANITATION PERMIT Permit No. <br /> --.-------' -' -' <br /> - r~~^p~'~ in Duplicate)~ Date <br /> Issued <br /> Application is hereby mo6m to the San Joaquin Local HauHh District for u permit to construct and install thwwork herein described. <br /> This application |smade in compliance with County {},d| m No. 549 '. ~ <br /> .~~ ADDRESS ' ., ..~..--.~'~.-~------.--__.-__--..-----'_---_--- ' ' ' <br /> Owner's Name -- --. ._----------------------- ----------------------------------- ------ Phone.................. ___--' <br /> Installation will serve: Residence U?--Apartment House E] Commercial E] Trailer Court E] Motel [j Other El <br /> Number of living units: Number of bedrooms P!k Number of baths ./-- Lot size ------- ....................... <br /> Water Supply: Public system .Community system El Private [:] Depth TO Water Tablo-crft. <br /> Character of soil to a depth of 3 feet: Sand E] Gravel El Sandy Loam El Clay Loam [] Clay 13 Adobe Wr' HardPan 13 <br /> Previous Application Made: (|fyns,6ote ------} NOD New Construction: Yes [] No ly FHA/VA. Yeo [I No [3 <br /> TYPE OF INSTALLATION AND : <br /> (No sepfic tank or cesspool permitted if public sewer isavailable within 200 feet.) <br /> MdflnDistance from oeanes+ weU-_---.-Distance fmm foundution--------��uteriuL------..--------.-No. nfcumpu�mont,--.___--Sbe..__----___Uquid 6ap�h-----.--.Cupmdt�._.__-� Distance {nnn nooros �e|-''---Di,t,nce f"am fouo6mt�n--''--'-'D|ot,nco to nearest lotUom-'_-''-��um6er of ||no�-_-__--_'_--Lanot of omch |inn...__--'_.__VV�fh of �anch'_--_.------of filter material- -Total length-_-. <br /> Soo ��� <br /> Distance to s+ to nearest lot line.="--__ <br /> - Number of Li,ing utoriu| Size: Diameter' �-°~-.�Dn��6.�..�.~�`.��'^--.-. <br />� ~Cesspool: Distance from nearest well-----------------Distance | foundation--------------------Lining mu+n,uL,_._--.---'.- <br /> [] 6bm: Diameter- ' �Dao+h-' '' ' ' 'Liquid �*P*"'`Y ' -_-gals. <br /> V <br />� <br /> Privy- Distance from nearest well ''--'_-.'-'__'''—-------Distance from nearest building'----''------'--- � <br />� [] D|stance to nomms* |o+ line----------------------------------------------------------------------------------------------------------------------------- ----- <br /> i ---------''--'-~^�^- ~~~�~=^~^-^~-~~~-^- '--'''�------'`'-''-- r-.�----- <br /> / or y certify that I have prepared this ap ation and that the work will be done in accordance with San Joaquin County <br /> 6. <br /> rdina c S ate s, and ru es 71 regulations o the San <br /> 4����m��o�. 4� ,.��� ^e ' - <br /> � <br /> of system in relati n to ildin etc., can be p <br /> (Plot plan. showing size Of lot location <br /> we 6u;x laced on reverse side). <br /> FOR DEPARTMENT USE ONLY, <br />| <br /> APPLICATION ACCEPTED GY''-'-_'---''-'''''''-''-'—'_- � /e� D�TE----���- �y~-.�� ��--'--' <br /> REVIEWEDBY_--------------------------------------------------------------------- --------------------------------- ---------------- DATE--------------------------------------------.-.--- <br />' ou/LD/nG ru^^^.. .SS"=° <br /> Alterations and/or recommendatioJ61 ----------------------------------------------------------------------- <br /> , Z�*rU " / - <br /> FlNAL INSPECTION /- �L ' Date---- ��l//'/ ���y--'�----_'---- <br /> /^« =-------- -------------------------- <br /> SAN <br /> --- --- ---� 7� . <br /> SAN JOAQU<N LOCAL HEALTH DISTRICT <br /> 130 South American Street 300 West Oak S?reet 124 Sycamore Street rmWest 9th Street <br /> Stockton,California Lad],California ' Manteca,California Tracy,California <br /> conREVISED n~5e zm 5-62 ATLAS <br />