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APFL.k.�OATION FOR SANITATION PERM Permit No. _ 3......-_/.`. • Com Duplicate)' (Complete p. ) Date Issued a.- tete in Du Application pis hereby made'to the San Joaquin Local Health District for a permit to construct and install the work here' described. This application is made in compliance with County Ordinance No. S49. s'7o ' 'North Rt. 2 Box 550, Stockton; New St. Francis Motel, Hi Way 99 JOB ADDRESS AND LOCATION---- -------- --------------------------- ---------------------------------------------- ------------------------------------- Owner's Name----------------------------------- Mr. 8s P;rS. Je GOoder 2-6226 --------------- --------------- -------------------- - -------------------------------------------- Phone------------------------------------ Address..................................................Jame, o Next to State Hi Way Patrol Office. -- - -- ------------------------------------------------------------------------------------------------------------------------------------------------- P,L RISH INC e e Phone._.__9-9607 Contractor's Name--------------_---------_--- ------------------------------ ---------------------- ----------------------------------------- Installation will serve: Residence ❑ Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel [A Other ❑ ##Number of living units: . Number of bedrooms _____ Number of baths _--- Lot size ..2..krrCS -- -- Water Supply: Public system ❑ Community system ❑ Private&► Depth to Water Table 35--- ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe @C Hardpan ❑ Previous Application Made: Yes ❑ No I New Construction: Yes ] No ❑ Supplement to existing system TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) CVO Septic Tank: Distance from nearest well__-10.0from undation__10?