Laserfiche WebLink
,v,cvrn-c uot: _ <br /> -------------------- --- ---------- ----- - ---._ APPLICATION FOR SANITATION PERMIT Permit No. <br /> (Complete-in Duplicate) <br /> This Permit Ex fires 1 Year From Date Issued Date Issued - <br /> Application is hereby made to the San Joaquin Local Health District for a permit to consffuct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND L CATION.___-d ��__�- � <br /> Owners Name--------- --- --•--�--•--- -- <br /> ---- ----- <br /> one-•---•-----•---�--•------ <br /> Address ... r <br /> � - <br /> Contractor's Name.----- f _ F <br /> __ ---- -------�- <br /> Phone <br /> Installation will serve: Residence Apartment House ❑ Commercial <br /> ❑ Trailer Court C❑ Motel ❑ Other ❑ <br /> Number of living units: __J_._ Number of bedrooms <br /> - -- Num;r11qE <br /> f baths v�_-- Lot size --_�t�_--_/�.- 4 � <br /> Water Supply: Publics stem �' ' -"-------•---`-- <br /> y ❑ Community system ❑ Private epth to Water Table --._- - ft <br /> Character of soil to a depth of 3 feet- Sand [] Gravel ❑ Sandy Loam Clay Loam ❑ Clay ❑ Adobe [] Hardpan ❑ <br /> Previous Application Made: (If yes,date------------"------ ) No ❑ New Construction: Yes ❑ No ❑ FHA/VA: 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--__a-! <br />