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FOROFFICE USE, <br /> . N F611-SANITATION PERMIT Permit No.N � <br /> "` <br /> ` r~~ p.e`e',n Duplicate) <br /> This Permit Expires 1 Year From Date Issued Date Issued <br /> -it to construct and install the work herein described. <br /> Application is hereby made to the San Joaquin Local Health District for a per <br /> This application is made in compliance <br /> with County Ordinance No. 549. <br /> JOB ADDRESS AND LO(�AIION_, <br /> -------------- <br /> Contractor's I <br /> W Apartment House or Commercial 0 Trailer Court E] Motel El Other [I <br /> Water Supply: Public system 2� Community system C] Private E] Depth to Water Table *�� ff <br /> Character of soil to a depth of 3 feet- Sand E] Gravel E] Sandy Loa'm,4 Clay Loam Clay Adobe E] Hardpan C-] <br /> Previous Application Made: ilf yes,date---- -- ---------- ) N o Now Construction: Yes [I No E] FHA/VA: Yes D No E] <br /> TYPE OF INSTALLATION'AND SPECIFICATIONS. <br /> c tank <br /> Sep�ic- -Tank: Distance froW—nearest well--- <br /> - Distancp frou found fion-----ZQ-------..Material <br /> -------------- <br /> Disposa� Field: Distance from nearest Distance from founclation._/9..'..--------Distance to nearest lot line-4— L <br /> D;sfance to nearl'st well./hT.........Distance from founciat;on--- ------Distance to neare'st lot line--r <br /> 171 Size: Diameter- A <br /> I hereby certify that I havelp-re4red this application and that the work will be done in accordance with San Joaquin Count <br /> ordinances, S-fa-jq laws-, and r7uls and regulations of the San Joaquirt Local Health District. <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY--- <br /> ---------------------- -------------------------------- ........—'_---------_--_--._------_--._---'—_--_---------.—.. <br /> '--'---''--'-----_--'—`''-----_—'--'----'''`--''''—_---'-_. ^ <br /> -----'_---_ --_.--____ _ <br /> �_ _________.. —''--'------'�—'----' 1 <br /> --_''''--''— —.---''' � <br /> FINAL INSPECTION QY Do+� ��' '�p <br /> -----�1���-------- \ <br /> u' / <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT <br /> 1ao1m.*"`wlo"Ave. xmvWest Oak Street 124o,°"rn",ee | <br /> Stockton,California �a/ c"o��/" Manteca,California <br /> uv»w'°"'«'�m�°' | <br /> co."mw/�n v""�"�'=� »"`v.��/n"�� ' <br />