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APPLICATION FOR SANITATION PERMIT Permit No. ----__----""__7 <br /> (Complete in Duplicate) ' a <br /> Date Issued .---- T <br /> Applica{ion is hereby 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. S 9. <br /> JOBADDRESS LO TION....--! - ---- = �.� ------ ------------------------------------ ------••-------------------------------- <br /> Owner's Name-------------- • ------ ---------- -. ------ -- e�f-�------ <br /> ------- ---- --------------------------- ---------------- Phone----------�-------------- <br /> Address-----------------I--1 - --------- ----- -- ---• --------- --------------- ' --•----•------------------------------------------------------------- •-------------------------•------------ <br /> Contractor's Name------- — 1 ?"— ------------------------------------------- ------------------- Phone----------------------------------- <br /> Installation will serve: Residence <br /> 11 [Apartment House ❑ om ercial ❑ Trailer Court ❑ offer ❑ Other <br /> Number of living units: -- <br /> -/---- Number of bedroom El <br /> of baths ---I-- Lot size ..-"" _/4A". - "-------------_------- <br /> Water Supply: Public system system ❑ Private ❑ Depth to Water Table -------- ft. <br /> Character of soil to a de th of 3 feet: Sand ❑, Gravel ❑ Sandy Lo;/t <br /> Clay Loam E] Clay E] Adobe Hardpan C]P <br /> Previous Application Made: Yes ❑ No 9/ New Construction: Yes ❑ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: J <br /> (No septic tank or cesspool permitted if uWic sje <br />