Laserfiche WebLink
JOB ADDRESS '7100 ift, A <br />crivvp 4. A <br />NON-REFUNDABLE PERMIT EXPIRES I YEAR FROM DATE ISSUED <br />PARCEL SIZE: 00 1 ) <br />BUILDING BUILDING PERMIT s <br />Apr« 193- 130- - <br />LIQUID WASTE PERMIT <br />RAN JOAQUIN COUNTY PLIBLIC HEALTH SERVICES ENVIRONMENTAL HEALTH DIVISION <br />304 E. WEBER AVE 3 FLOOR. STOCKTON, CA 95202 (1)9)40.3420 <br />OWNER NAME /1 j <br />CITYMIP PHONE NUMBER V272- 3 .5 <br />coNTRAcroR A/!/// / 4'e ,52-fra 464 ADDRESS te—. /0 64 A--4,!A., <br />CITY/ZIP r 5 PHONE NUMBER — c." 3- .3 <br />GEOGRAPHICAL INFORMATION: COORDINATES X V TOWNSHIP RANGE SECTION <br />YPE OF SEPTIC WORK: <br />CI NEW INSTALLATION <br />J6, REPAIR/ADDITION <br />DESTRUCTION <br />C2 ENOINEEREO/ALTERNATIVE <br />INSTALLATION WILL SERVE: <br />41., RESIDENCE <br />COMMERCIAL <br />OTHER <br />NUMBER OF LIVING UNITS: <br />NUMBER OF BEDROOMS: <br />NUMBER OF EMPLOYEES: <br /> <br />CHARACTER OF SOIL TO DEPTH OF 3': PIT/SUMP. SOIL CHARACTER: WATER TABLE DEPTH: <br />PERC TEST IS). HOW MANY APPLICATION /4 <br />ADDRESS <br />SEPTIC TANK TYPE/MPG CAPACITY SOP COMPARTMENTS <br />> 0 GREASE TRAP TYPE/MFG CAPACITY # OF COMPARTMENTS Col <br />MGT% PLANT DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE m <br />UPI sTATioN SIZE T YPE Of PUMP SAND OIL SEPARATOR (ENCLOSED SYSTEM) i..) <br />—1 <br />INSTANCE TO /MARCIE: WELL FOUNDATION PROPERTY LINE <br />_.... .1, <br />a FILTER sea WIDTH I ill - LENGTH_31 DIG9TH__) DISTANCE TO WARM' WELL_40 FOUNDATION //1..? PROPERTY LINE .....‘ <br />MOUNDED WIDTH LENGTH DEPTH 0sTANCR TO NEAREST: WELL FOUNDATION PROPERTY UNE <br />CI sumPs WIDTH LENGTH DEPTH PIMANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br />DISPOSAL PONDS WIDTH LENDER DEPTH DISTANCE TO NEAREST: WELL FOUNDATION PROPERTY LINE <br />... 0 SEEPAGE MS S DIAMETER DEPTH DISTANCE. TO WARM: WELL FOUNDATION PROPERTY LINE <br />I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES. STATE LAWS <br />AND IUJLES AND REGULATIONS OF SAN JOAQUIN COUNTY <br />/MININiyM 24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS - PLEASE CALL (209) 448-3423 <br />TIME: 1, o—,' r- '‘.. / DATE: / Z /.-.7 ej L <br />1ST 1' -r-- <br />I <br />-1-- . <br />IN . <br />nil _ <br />I PA <br />... <br />, - - - - <br />tii ' num ma ika r 4 . ' r <br />..* <br />i <br />.4*** * . <br />... <br />"["""."'1".' <br />. <br />• .., <br />'''' <br />L <br />I* <br />' <br />! <br />OM <br />CEW . . ; <br />, <br />......... <br />- <br />_ <br />:-.-.„- 1-- i' <br />- .„ . - _.— ....___ <br /> T t- <br />APPLICADON ACCEPTED BY <br />INSPECTED BY DACE /2-48-40 PERMIT FINAL U YES DATE INSPECTOR. <br />/ • II <br />10/ -114-4 Rdom aseD "Atimer if4tfin`f#64 9/111.4) <br />COMMENTS <br />PE CODE • SC INFO <br />REMITTED <br />AMOUNTCICi.....K/4/LADI RECEIVED <br />BY <br />DATE PERMITMEAVICE REQUIEMS <br />— <br />INVOICES SEPTIC ISO <br />4 1 1 0 1 t 5- Igo 67.5-1 -4,e_ .1,77fit 1.: SR0032 1 -2---1 <br />REVISED 445-0: <br />ID LEACH LINE S OF LINES: LENGTH OF LINES: <br />INFUTRATOR CHAMBERS: <br />SIGNED; C <br />Ok4 626:% 04"/ DATE: 11-10-7, AREA 2 19-I EMPLOYEE EDO 5366 DISTRICT 3 _.‘OCATION 9 9 <br />A NT USE ONLY