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Application is �areby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. 1 -2—'f 7—Z—qV <br /> JOB ADDRESS AND LOCATION.... <br /> Installationvrill serve: ResidenceEl Apartment House [I Commercial 1:� Trailer Court <br /> Water Supply: Public system E3 1 <br /> Character of Of to a depth of 3 feet- Sand E Gravel El S d Loam C] Clay Loan, E] Clay 0 Adobe 0 Hardpan C] <br /> Previous Application Made: (if yes,date__-- --:....... I No�%ew Construction: Yes [] No ��FHA/VA: Yes [] No E' <br /> -AND SPK <br /> (No sopfic tank or cesispil'ol perm—itiMed- if-Fr­ublic sewer is available within 200 feet.) <br /> Disposal Field: Distance from nearest well................Distante'fiom foundation....................Dis <br /> F�BSTI Afr� Number of lines... 1. <br /> ­I..her.a-6-y­so-4.ify_.th-a.t..I. have..p.repared this applicafia'ri-and Alt.the-wAr will be done in accordance with San Joaquin County <br /> ordinances at law , and-iculifs -and regulations of the San Joa4uin Local Health District. <br /> (Signed).....Rip,1671wil .........x$Cn_& ....5k;1.4 j n <br /> .op4,,,.jDisr 0. er and/or Contractor) <br /> d on reverse side). <br /> (Plot plan, showing a6 of W;l6taijpnilof system in relation to wep, buildings, etc., can be place <br /> FOR DEPARTMENT USE ONLY <br /> REY|EVYED8Y�_—_-_--............................................... <br /> BU|D)|NG' PE���� |S�UED..._-.�~^..~_'_-- ��-._ __-.~~._----~^~-�'-- _�^_-_~_____^'~,____'~_~ <br /> ��ermtnn* and/or ^-^~__'--_—,,_~__�_—____^.._^'-____ _ ,,- <br /> / --_'--�_'--_'—.---_�^�~'.__^^'--'�~'--_----�---'~ <br /> ~-'_...—'.-----'--_-_..^.-_-._------_-_.'-~. <br /> ........... . ^^. <br /> . __~-~~___.--...... <br /> �� <br /> RO Dutw—'---"v--,e^c�-�cs�_—._---...--.~_Rm�� � ���,�u,�,^�' �~ ' � <br /> SAN JOAQWINLOCAL HEALTH DISTRICT <br /> 1**: E.wwxo|wmAve. o0*West Oak street 124ov"mmomStreet 2vsWest 9th Street <br /> w�| <br /> California wwn�°,m.�wnw",m* r,o/xcw//*m/v <br /> uwvu�n.cpnmww � <br />| uu*2M,.67 Vanguard Press <br />