Laserfiche WebLink
APPLICATION FOR SANITATION PERMIT Permit No. <br /> (Complete in Duplicate) <br /> 0 9 Date Issued <br /> Applica4-ion is hereby made to the San Joaquin Local Health District for a permit to construct anj install the work herein described. <br /> This application is made in compliance with C6unty Ordinance No. 549. <br /> (A p <br /> The <br /> is ar <br /> JOB <br /> JOB ADDRESS AND LOCATIC <br /> Apartri)ent House E] Commercial E] Trailer Court E] Motel E3 Other E] <br /> Installation will serve: Residence ��< <br /> Water Supply: Public' system E] Community system El Private ff---Dpth to Water Table-, <br /> Character of soil to a depth of 3 fee t: Sand P_ Gravel E]- Sandy Loam 21-I"Clay Loam 0 Clay Adobe E] Hardpan C1 <br /> Previous Application Made: Yes F] No New Construction: Yes No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank; Distance from nearest well.5W-hW&Distance from fou_p_dation,1A0 ------------- <br /> Disposal Field: Distance from nearest well--p------4-6isfance from founclation-A-47--------- Distance to nearest lot <br /> I here6y certify that I have prepared this application and that the work will 6e done in accordance with San. Joaquin County <br /> ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. <br /> / <br />� (Plot plan. showing size of lot, location oisysft m in relation to wells, 6uildings, etc., can 6e placed on reverse side). <br /> .'__W-- -Y'''''-''-''-''--''---''—''—'— ----------------------------------------------------. E--------------�'-''�'-'--------'- <br /> 8U|LD|NEPERM|T |3SUBD--_------_--_----.-__---._----_ DATE'--_----.------------------------ <br /> Alterations and/or <br /> ---_--`Alte,u+ionoan6/nrrecommendations ------- - ---- --------- -------------- --'_-_--_-_--._-.__-_-_------'---_-- <br /> - ;. <br /> —''---'---'' --'''''-'-''''-'''--'�—'-- i --''--''---'---� -_' -------------------------_.--'--_- ...................... . <br /> --------------------------------------------- --------- -------------- '''—''--^'--''''-' -------------- ''--''—''-'---''-_--''--'-'--'--'. <br /> —'-'''-'-'-'''--'-_''`,'''-'''--'--''-''--''--''-''''-''�—'�—�'-'''-''''-'---'--'--'---' } <br />. . <br /> --'''--'-'_''----��'--'--''-----''-'''-_''-'''-'''--'--''—''_-_----''-�'-'--_'-'-- <br /> � <br /> A <br /> ��RN/\L |N3PECT|C)N BY�---.W =--------.. Du+e-�',.���-�����---------.__---_ <br /> - <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT . <br /> ` <br />� <br /> 130 South Arnerica" etreet 300 West Oak Street /32 Sycernoro Stree+ 914 North "C" Sfr*ef <br /> -' `- <br /> Stockton. California Lod;, California Muof6mu. Ca|K*mia Tm*,. California <br />.� "S-~_`, <br />