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l�f1 <br /> Psrmit No. ....�f. _.. <br /> ,. R SANIXAnoN Peptmff .� <br /> in Dupticate� <br /> APMCXnot4 �- <br /> J Date .... .-•�-•--• <br /> (Comp ' <br /> in Luca! Health District for a permit to Construeinstal, d,r here;na ascribed:' <br /> l Jae u <br /> +, .made to the San q •. Q�inance No. 549 <br /> Applica Ian rs herebYde in carnpliance with nt1' � t 1 A/ p - <br /> This application helo <br /> s .! ... <br /> ADDRESSJOB AND <br /> LOCATION. Phone............................... <br /> • --------•----•--- <br /> Ow Name. . • .. f7f1- _............... .. .. ••... -- _.__.__ ..._.._ ...... <br /> nor s •- .. .--•- � -- <br /> Ph- <br /> X-------- `� .� '��........._>�a--�.�..__...- Motel <br /> -other ❑ <br /> .._ _ . - ---int t•{ou� n <br /> Contractor s Name._..... Gommerdal Q Trailer Court n <br /> n wilt serve: Residence.[ Ape �/ <br /> lnatallatb ' 7" 'Number of baths .__ ... Lo+ <br /> L Number of bedrooms---• Depth to Water Tabled it. <br /> Nurnbar of living uni#s: ._.. PTIvate 0 Adobe[ /hiardpan <br /> Public system ❑ Community system [] Cls <br /> f Water SupptY P Sandy Loam❑o Clay. oaf r"��t ��'� �I�1�7��.'. <br /> Sand[� Gravel❑ d+�"l"T <br /> aracter of $oil to a depth of 3 feet: truction: Yes Q <br /> Ch Now Cons <br /> } •� Plicstion Made. Yes [3 No B <br /> Preto+ i4P <br /> TYp 'OF INSTALLATION AND 5PECIHCATIONS: <br /> [No septic Tank or cesspool pe <br /> r, 40 I NS: sewer is.available within 204 feet.) <br /> from foundat;on_. _Material---------- .... ....... <br /> ° m nearest we .................Aistance Liquid depth•._-_••••-•••--....... i�ac.�ty_._.. <br /> "6 S c Te Distance from <br /> No. of compartments_._.._.._........... ..:Size----------- <br /> #n nearest lot ins---_..---------- <br /> nearest well.................Distance from foundation---...._... . _._.Distance <br /> t Distance from ..Width of french------------------------. <br /> Dia Length of each line ._..- ngth- -- ..................... - 4..•-- <br /> Number of lines.-_-------••--••-•• 9 <br /> ' Type a{ filter material Depth of filter ma{griai................... DietTotal g,to nearest lot line__.!_ <br /> ror� undation- 1 - ----.----- <br /> .. Distan Depth..., <br /> Distance tc nearest well.-Q •-•-• -...5ize: Diameter.--_ p <br /> ge P Lining materi __ _ <br /> �' Number of pits_.../.-•••......_._ . <br /> Distance from foundation.....:..............Lining material._. ......__-.._..--- galsN. <br /> ' nearest well_..._..__. Ca <br /> Distance from -_-----L�ttuscl {sacaty...-•-•-•- <br /> v Cesspool: _Depth........................ <br /> Size: Diameter..................................... nearest building --_...__.....------- <br /> �, p Distance from nee g <br /> r <br /> ........ � <br /> Distance nearest well---••........................•-.................. . .................. <br /> Hwy: Distance to nearest lot line:...-.-_.-•---..•_...................... . <br /> .....---••«.:------~----... <br /> - describe•• --------------------._.__....__................-...........w_....:�•--....... . <br /> ' and/or repairing i ... <br /> Remodeling ....._.. -.........................---••• -•.. ........ --.... " ....�.., ._._....__.......». .....-----.I...._.. _: <br /> .............«..__....._-----.....__.._._....__.......__...- . - <br /> accordance San n <br /> f ....._�_-_ <br /> -. -. ��� and that the work will be done in <br /> with ,loayurCounty <br /> ------ <br /> -------------------------------------- <br /> .---••----- - ""- red this application a m Local Health District <br /> 1 hereb certify that I have Pa <br /> ee��ggulation$ of Rise San .losc�u' .- <br /> to laws, aria Nl[�NT w-�- R <br /> ardinan ,,., ,�.� Contractor) <br /> Ssypile.tank Seiridee•�_ . ---•- _... r .......... <br /> edj veli3e #Y(f .7 - .._....---•••--•..._(Title)._. <br /> r. :=�5igf1 .. . s <br /> . S� ....._.... "-- �• etc. can be placed <br /> on reverse e. <br /> ..�_..._ .- � b dings <br /> (Plot pian.showing srse of lot, location of SOO n relation to <br /> FOIL pEPARTmENT use ONLY <br /> DAT#:��, --------------- <br /> . ---_._.-..,._.._ <br /> APPLICATION ACCEPTED BY._ .-.. ........ .-_.--- - DATE..Zok...-.-...— _----------I --.---.......- <br /> .-t.. <br /> DATE.._... ._ <br /> _ -----_----------- <br /> REVIEWED sY - <br /> -------•...._ ......---•---------__ <br /> ... -- <br /> BUILDING PERMIT ISSUS:D_...__-•••-• __....__••_-••••• _...._._._.. <br /> esnrnendations,.__.,Y.-....... .................... ...... <br /> Alterations end/or roc -----------•-•• <br /> - -•-•-.--------- ---^.........•..---•--•-----............................ ....---••-.._......_---........_....• .._..... .. .._ ._. <br /> l ! -••• ......------•.. •.........._....-- -- ._...... ...._ <br /> Data— <br /> FINAL <br /> � � �_.�....,._._.. <br /> ... l..x ................. <br /> FINAL INSPECTION BY ............. / <br /> ..-...: <br /> ►" SAN JOAQUIN LOCAL HEALTH 'de *r ICT 814#North'•G'Stmt <br /> W Syrnore Street California <br /> !O0 Wast Oak straat Mantaoa. California Tracy, <br /> 130 S901+ Amorkan Street Lotti, California <br /> Stockton. ralifornto <br /> - �1M I�s.a�wT..reae =a•a <br /> Y <br /> 1 - <br />