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LICATION FOR SANITATION PER'L Permit No- - -- --------- --- <br /> (Complete in Duplicate) <br /> Datejlssuecl_'�-("W ---'073 <br /> Applica-lion is hereby made to the San Joaquin Local Health District for u permit tuconstruct and install the work herein described. <br /> This application is made in corliance witk County Ordinance No. 549. <br /> 10, <br /> Installation will serve: � '�ncm []� 'Apartment House [] Commercial [] Trailer Court MotelNum6er of <br /> |kJng units: ___ Number ofbedrooms -------- Number of baths -------- Lot size --__-_ <br /> Wafer Supply: Public system Community system El Private D pth to Watbirylo-al a fable-/*_J_ ft. <br /> Character of soil to a depth of 3 feet: Sand E] Gravel 0 Sand m 0 Clay Loarb [] Clay El AdobeA Hardpan E] <br /> Previous Application Made: Ywj—] No x New Construction: Ye�;K No L] <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septi'c tank or cesspool permitted if public sewer is available within 2004eet.) <br /> ,4pTank: Distance from nearest well-------------?1)stance from foundatioR-------------------Material-----------------_---................... <br /> 'sp"jI eld; Distance from nearest ---Distance from foundafR)n_,/A�------Distance to-nearest lot line...:�E------ <br /> Number of lines ------ Length of each ------Width of french......2 <br /> �e 9b Pit: Distance to nearest well---------------------Distance from founclationi--------- Distance to nearest lot <br /> Lining material..--------- Size: <br /> at I have prepared this application and that f4e work will be donelin accordance with San Joaquin County <br /> ordinames, St f I s, and rules and regulations of the San Joaquint(scal Health-Dittrid. <br /> (Signed tli <br /> -- ------------ ------------------------ <br /> (Plot plan. showing size of lot, location oPsystern in rellon to wells, buildings, etc, can be placed on revers <br /> FORDEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY- DATE-- <br /> R=,.=,,=" B. __�. <br /> .-__---_--_ ' -----I- ---—------------------------------------------ DATE------...........---------------------------------------- <br /> BUILDING PERMIT <br /> -_----------..8U|LD|NGPEQM|T ISSUED DATE---.—...-.-''......- -'�---'-�-.—.----'.—'.------ —_--.--------------------------------------_— <br /> Altermtionwa�/� rm�m����mt��: ' <br /> --' — --'''''- '^--'0--�^'''--'--''--''---''''-----'---'—'-----'------'--'------' <br /> -'-_.-_----_-------------_.-----_----'°�'��'_--.�'-� -_---_-'-----''_-------'-'_---_-----.-' <br /> - --`-'----'"''��-'-7'--------------------------------------------------------------------------------------------------------------------------------------------------- <br /> � <br /> --�___-_--__ ------------ ---.-----_-----_—.---''--...-----_.---.'.---.._—.--.—. <br /> ~�_� - ' _ --_~._� <br /> ..................---------------------------------------------- '- -- -------------------------------------------------------------- -----------------------'---' <br /> �' ->� ,�� � <br /> FINAL INSPECTION BY:--._--��.����8�����z---- Dat�----'��—��_c--_----_---__---. <br /> SAN JOAQU|NLOCAL HEALTH DISTRICT <br /> /so South American Street suoWest Oak s*°et /m Sycamore Street 8/4 North ^C~ Street <br /> y+""w"". California L"o/. California M""+°°". California Tracy, California <br />