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FCR OFFICE USE <br /> APNO ZfS-oho -aj� <br /> APPLICATION_FOR SANITATION PERMIT P«.:;t No. <br /> Thar permit E Direr 1 Yeu From Date I+swd Dote Issued <br /> Ans opFlt on <br /> TFrappn hereby Mede to *0 Sam.Ioaquin Lout }Dante D;%frict For a permit to coMtrucl and ;Asf d the wq4 here;"deecr"d. <br /> �- iuf'0" d made ;n compliance with Comfy Ord;nence No. Sao. /s• O �• h /�D <br /> A� Fr'�V•�r•`/V( <br /> J08 ADDRESS AND LOCATION... J ..._. ......-....... <br /> � <br /> Qvra'c NORM..... .- lPBCT. R7.�` <br /> Addma . . i f — IS?X .. .a�? �. .... ,.. , O(d . _ _ . %10w". .---- ._-._-.._... <br /> ',I ..+ - .- <br /> Lontre„tor's Nanr �iNX.��� r s .. .. .......... <br /> d" <br /> ..._ .. .... .._ ._._.._.......... ... �/ Phone... ...... . __.. __.. <br /> Installation wiR serve: Res ❑ Aperlmrst !{Dote ❑ Camr0iop4h <br /> Me Treii« Court Q Motel 0 Othre 0 i <br /> Numoe,of ruing unit' Number of bedrooms . ". Nlwr, bath 3 Lot t;» _.�I�.t�T_...x_..�Fi.I.�.......,.•..... <br /> Water $up*: Fl,blic sys [] C ,mtPi �/To Wafer Table A4, ff, .. <br /> Charcot«of ►a7 ro a d.p16 rd>t feet: Send g"Gf"O Seedy Loom 2Y/Cloy loon❑ Gay 0 Adobe 0 erdloea <br /> lM <br /> Prei+ious APPCcat;on Mede: ilf Yes.date 1 No111�Now Construction: Yes M--to C F14A/VA. Yes 71 No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS; 7 <br /> INe MF*O-i WO cebpstol pen:' if Ik »w« s available within M fee►Is - -�_•�.° .•,—gym,►- <br /> GSe'�Ic Tank- Qdnfenu {,O�m nee st w stance from foundation' MebrMl- i7 <br /> Os Id: No. 0; t mperime � .._...._.. ... .. . . Liquid dap* . .. Calusal. <br /> ��77 n1C->• <br /> No. o cum <br /> P�-y - neerost I L$C7 ;stelrce from fourdef;o .., �.t7. . . .D;stancs ro nesnat bt�re": _;. <br /> R� NVMA r or liras .... .. L g% of each line Width�Z'-"' . ... dth of trench I <br /> Type of filter RMter;al Je 'of Ella, materiel ./I .'t ..Total.kngl}. .. 4� <br /> Seepage Pit: D;ibnu to nearetf was* Dist � fror: foundation ...... .Distance to neanesr lot 1'4.- r <br /> C] Nsmber of pits. . . _ L•>•; sfer; .. //. Silo: Dialrrotow .. r_ Depth <br /> Cesspool: Distance f- ns soonest was ,.. . Onfen ern folmdaf:oo .Lining materiel... <br /> (] Sire: Dlerrotac. <br /> `.Privy: Distance from :ast to wall ....,. Detente from neared bu; .._._ <br /> 13 D+f►Onp to nesrosf dOf :oro.. - <br /> Remodalinp and/or tape;r;nq (desc+d)a) <br /> _.. .- . <br /> _ .._..._......._ . .. . .......... <br /> 1 Ileo lY W* the t havepeepered and*at Fb W" *4 M der as aaeardea0e wiMt Sen Jeegwn Caunfy <br /> erdiMneer. ,St�len^s, and and nquia' Saw Jacquie Lesal MeaNY OW". <br /> '$Icy: <br /> ae:t«I <br /> IFlef Plen. fMewiM rice of ted, locations of syNam a, nlNioe to weRa, beildnoa, etc, can t>. p�Ced,en,,r�'rsey�`a� It r <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY r t K O _ _. ... DATE <br /> REVIEWED BY .............. ._ DATE_ <br /> BUILDING PERMIT ISSUED-•.-. _ DATE_ _.._... . -. <br /> AMraliesM sWer seowsnwrdeNeas• _. <br /> . ..... <br /> .. . ..... ._.. _ <br /> i l <br /> vi <br /> FINAL IVSPEC'ION Y . Gf�J • ' X/' Dow. <br /> SAN JOAQUIN LOCAL HEALT14 DISTRICT <br /> t le f�Ih Mtr.i.arl S.•rr.• Xis wa•.046 font" 124 Sr s.rwr M.w Tef w.rr,91%eww <br /> IMf>.w,C.M... %00.W0.rw10 woo-o".conforms Tarr.GIIh,..V <br /> n:Sr 24 5�62 •TLNn N <br /> to <br />