Laserfiche WebLink
FOR OFFICE USE: -PPLICATION FOR SANITATION PER' /p <br /> Permit No <br /> ���-/�--��--------�- <br /> V <br /> - ...-......... ------- -- (Complete in Triplicate) Date Issued ll.#'"_.-7d-. <br /> This Permit Expires 1 Year From Date Issue <br /> Aplication ishe work herein <br /> described. Thishappl cation so adeain compliance wi heCounttyy Ordinance Ninstall <br /> ereby the Sn Joaquin Local Halth District for a rmit to construct and o. 549 and ex sti g Rulesandt Regulations: <br /> JOB ADDRESS/LOCTION . <br /> C5Z5 .U-.._ -`! -. r- - - ... . CENSUS TRACT .. - .�.r--------- <br /> -- -------------- <br /> 10 <br /> - ------ - - - Phone <br /> Owners Name <br /> 77.._ - , C� ----- -- ----------- --------- <br /> Address ._OC-J.. - �� �,��p,� - - <br /> --------- - cerise # 00 <br /> / I. Y ... <br /> Contractor's --'-'--'b- <br /> uy <br /> ` Installation will serve: Residence0 <br /> Apartment House f] Commercial ❑Trailer Court ❑ <br /> Motel ❑Other - --- <br /> Number of living units: ... Number of bedrooms _3-"...Garbage Grinder _�-A- lot Size .trf CYi 1------------------ <br /> .� Water Supply: Public System and name ------------------------------------ ------------------------------.._-.-......Private W/ <br /> Character of soil to a depth of 3 feet: Sand❑ Silt❑ Clay ❑ Peat❑ Sandy Loam ❑ Clay Loam ❑ <br /> Hardpan ❑ Adobe❑ Fill Material .._---- --- If yes, type -----------------_-------- <br /> y (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse side.) <br /> NEW INSTALLATION: (N septic tank or seepage pit permitted if Public s wer is available within 200 feet,) <br /> PACKAGE TREATMENT SEPTIC TANK ]n�/ /� Size---- X-.-K- /- -- i - ---- Liquid Depth -� ....--"- G <br /> Capacity�¢ Ye% a.YTYpe -L' Material_.�Ozlcreci. l'1 j Compartments ------ C <br /> O Q, - Foundation ... .D.------------. Pro Line ..r� <br />