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R #. <br /> APPLICATION FOR PERMIT <br /> E,.,/ JOAQUIN LOCAL HEALTH DISTRICT <br /> 190: E,HAZELTON AVE., STOCKTON, CA <br /> TN•oww =914054 8I <br /> PERMIT EXPIRES 1 YE" FROM DATE ISSUED <br /> (Com4bG:in Tr%)ka e) <br /> I p•utbn Y Itweb,n•de a*0 Stn.Iatqu1n VOW Hewer OYpkt tw•PW"a to,I..uua.ne/«Y+w w.w.t ir+ln a.aa.a.trr iP3•• <br /> Ap8 <br /> ntWS ti oorrtekr+ot wMe Stn Jotqu•e County OrdYurtc�No.6/S Rn tw'tpi«No.T6>�fw wMrpurtp�dr Rultt•nd Rtpdtfw�Sf M for JrW S <br /> � <br /> Loco Howth Dismat:,.I A, <br /> Job AdwMS . .��j� 5 , . �.✓4. .,c�,,:/ La skm � <br /> ?1 <br /> owed.Nwro _— Ad/��;� /!� <br /> _ ConVxt rb' AdJms C.(tfC4•:V` Lkwn.No.Af <br /> TYPE OF WF'L.'PUMP: NEW WELL O Wai RL"PLAM-WT 0 DmTRI.Cr.ON O <br /> PUMP INSTALLATION O a:S IEPMi O OTMSI O <br /> DISTANCE TO NEAREST: SEPTIC TANK SEW91 LP 11 CISPOSAL FLO... PNDP.Lw* <br /> FOUNDATION ....rAGRk:,'r.T`3RE WP' '. ')'TISHI WELI PITS/SUMPS_ <br /> INTENDED USE TYPE OF WELL P!.*GLEM.UIF/L CONSTRUCT•AN SPECIFICATIONS <br /> O IMu.-t-1m O OWn Swan O M.*rt Die.Of WON EuwIf" Ma of Wet eating <br /> O Done/P;+tvm CJ GrnM Ptd O Tncr TYP•of cAskv _ SPe dtdwa <br /> C Public O DOW O Dene Dtpth of Grwt Stw Type of GMIA <br /> O IniDedon __App O Depth O Etwen+ Swfwn 34w kttSYd by <br /> Repair Wo.# Coro U TYM of Pump ___ H.P.. SUN Work Dan• <br /> Welt Owt•uction O WN DW uW $!drop VAWW(ap On _ <br /> Dwye FOW MNWW M '- IM <br /> TYPE OF SEPTIC WORK: NEW INSTALLATION ftEPAMIADMTION O OESMX1ION 13 1�aYw"0MLI� W!Pwwr Y J_ <br /> wMYn ND <br /> krta•w on w•turS: Rttklena Corm,wcW—�Dow <br /> NurrOw of&AV unity_ NumCv of bedoonw <br /> Chwomm w to•to•doth'A 3 Mt:�w � 4180,11hSEPTIC TANK O Type/Mfp Imo.__.—C y w e <br /> PKG.TREATMENT PLT.O �7t T QMtlnd d�QL�ot•I_ <br /> Mwanot to nwtw: Woo(L�'_ FounNnon P OWIV <br /> LEACHING UNE O No.i Lwrglle of FWt� . TC+rt rwVW <br /> FILTER SED U DiwencS to n wee: WM Foundation _ Pr•pw v �' v <br /> y1 <br /> SEEPAGE PITS O Own --Stu-- Nwraw <br /> SUMPS I7 Dwt•na to ruwttt: Woo — Found~ Propw(V Lift�— <br /> DISPOSAL°ONUS O <br /> 1 tNNeby"ft pw 1"m VOW""epp zoan and Z V.wort WN be done k.Kowdrat w th Sore JOOgerke oww•Y wdIn11 teat.VAN LMR WW <br /> Mw WW MgWW oro co the Sen JOtpM LOW H"Ith DWrid. <br /> Honor ow+w a flarrttd Spa•'•WW*twt owt11W ttq following:•T cow•em in dH pwlot — Of On work for wfM eft Wrn*M twtd.1 was nor <br /> orndW ww Pent in such nunrt M to btowrM mkiect to wpWrun't owrrpauwiCn bin of CELtendt.^canow w'i frk'g«tu4owwtwNO dptttw• <br /> ewWW fM fodawktp:"I awe! at 0 01 the work Iw VA" eft pwft*k WNd,I*a wrrllt V pwwrwvjb tw m wwkm*W••ntpwnt <br /> -don Iwn of ca"If".. <br /> The tppr<wn kuWctioM. Comple»cinwAnp on <br /> slontld <br /> 0•tt: <br /> FOR IMPARTMENT USE ONLY d (` �y <br /> .on A<otped by Ow. 3—I —0'7 Ant <br /> Fti,w I wooibn a <br /> r w Grow Inptction by __ Dtu <br /> ►n — <br /> 3, / ItvrL�le vJCI /j1 vyf O r +jo <br /> f.)Nth tP}BTPI p Lad Sa7e1 O Mw,Hce TI ❑Tnt1r SRIfE " /.r ,C L't'///t p-V=7 <br /> ". ApWloww .RwrSn M ttoin to. TJhY•n•1w•w NWde PMnoe/paWtt HI01 4 Ilt/•11.11 AM,r►,Or M SgpA M.r a Stip! "} aJ}(/yiF <br /> FEE AMOUNT OUI AMOUNT REAMMI) 1*mm ry DATE P[•e•7�/' <br /> NItU f <br /> . IN 6N tow ,,.^ /l•1 �O ��Slo �� <br /> µKN <br />