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Ip I 'rel �• -�i" - .� - .-. FOR OFFICE USE: ....................... Perm;# No. ..42.21U .... E : APPLICATION FOR SANITATION PERMIT (Complete in Duplicate} Date Issued .04r�t✓.. this Permit Ex ires 1 Year From Date Issued gpplication is hereby made to the San Joaquin Local i-iealth District for a p arm;t to construct and instaii the-art.herein described. This cppliCation is made in ccmpliance with Count}'Ordinance No. 549. f. 17 JOB ADDRESS AND LOCATION, .......... ................... ...................................................;'hone...................... ». Owner's`Name.......,, E. ........... �•... .,.- ._... Address .. •r fa.. .. ... I : , � ... .... ..... ........................................... Phone.............................. Contractors" 4 -Name.......................... f*!K"...................... i . Installation will servo: Res dance Apartment House [ICommercial ❑ Trailer Court ❑ Motel ❑ Other r' I Number of living units. ,/..._.. Number of bedrooms .a NumLer of baths .� Lot sire ._.... Water. Supply: Public:system E3 Community system 4=7 PrivateDepth to Wat:Sr Table 46. ft. i Charrcter of soil to a depth of 3 feet: Sar.d E] Graval ❑ Sandy Loam C3Clay Lcam Q Clay❑ Adobe Hardpan❑ $ Na ❑ New Gonstruciion: Yes ❑ No� FHA/-/A:Yes❑ No F^evioui Application Mede: ;If yes,date........:....... . 1 TYPE OC,INSTALLATION AND SPECIFICATIONS: r k or cesspool permuted if public sewer is available within 200 feet.) � nce from ds+;on... � Ma#erial••� � (Na septic tan ti . J A Sepic Tan I k Distance from nearest Neil..5� Disfiafoun ---- J No. of compartmen is ..._.e _ �........._.S;z ....�i• e.y� . ,!7Uquid den+h.....��........... Capaclty��%G F + : ' istanee to now lot 6ne�Qd ? -° Deposal Field. Distance from nearest weEf.� Gi$tance'from faunda+ ion.... — .... n Number of Ii ....................Length of each 1'ne,/�' ?.......+ •G? Width of tre ch o�y ��jj Depth of filter maternal.,1.a..��......TotaI length. .IGQ Type• of,filter matP riot r../,!"Ci�� p :Seepage Pit: Distance 'o nearest well...............:.....•Distance from founclation................•.•.Distance to nearest lot hne - .. ❑ -, Number of Pits..................__.Lining material:................_ -....iize: Diameter.......................De th I " Distance from found,)#ion....................Lining motor. ° Cesspoo:: Distance from nearest wo11................ , c 9 Size: Diameter........._...........................Depth..._...__._....__.... ...........I......I..........Liqu spa a1s. 'd Capacity I 1 ; * ❑ .... ce from nearest wall ............:... ....Distance from nearest building..- Distan .............................................................. ... Distance to nearest lot line........,... . } "'� Remodeling and/or repairing {describe:_/� T•.__ _.. . f .......................... ............... . 3 1r L.............l ...... ............ .................................................... .... ...... fir, f I he at I have prepared this application and theft the work will bo done in accordance with San Joaquin Ceunty z r regula#ions of the San Joaquin Local Health District. ordmanbes tato laws nd rules and , net and/or Con#iaetor( ' (S,gzed} . �` B' y .: {Plot plant showingsize'of lot,location of system in relation to w;elleluildings, etc., can be placed an reverse side}. !.. - -� FOR DEPARTMENT USE ONLY - PAPPt1CAT1DN ACCEPTED BY....:.............._................._................�. -..... BY:. DATE REVIEWED. .. DATE i BUILDING PERMIT ISSUED....................................... , ...................... Alterations and/or recommendations:............................ .... ...... Y . 1..1..111.............................••._.. v - ♦ ..................... ...-..................—................. ` r 3 .........:.................. ,...,............`.;.•................_...................................................-L''.... ... .:.....:.:...• t4' .... Date........................................................................ FINAL INSPECTION BY:..................... ... I SAN JOAQUIN LOCAL HEALTH DISTRICT Raeellen Ave. 30o wept Oak street 124 Sycamore Street 705 West lilt Street s 1 Slockton,Collhenie ledl,Calilemia Manteca,California Tracy,California h 3„q• ea a irevras9 a•se 2M 2••e3 r.r.no. k �1,y -Llvr!Yi[SY•..^' .iiG N-:..✓...',.�ti.c11.::..: -. - .. � k 4..aY s��. .F:y�:ikar:..�+. �.. - -•_�{f ,,t�j1�{'!YT i'. i { r