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� � 'V ~g f- - � P 2 � / /�� FOR SANITATION PERMIT Perm�� . -� _ 21 ^' ~ C/ (Complete in Duplicate) Dm+n Issued ..V_Z_�V App|icufiois hena6v made to the San Joaquin Local Hev|+6 District r m permit to construct and instal[the work herein describe d. T�isapplication ismade in compUanoewith County Ordinance No. 549. ' - Installation will serve: Residence F] Apartment Houselo' Commercial El Trailer Court [] Motel E] Other 0 Number of living-units: 1-'Number of bedrooms ---474'Number of baths .17--- Lot size __*------------------ XCommunity system 0 Private E] Depth to Water Table-� ft. Character of soil to a depth of 3 feet: San 6 [] Gravel E] Sandy Loam [] Clay Loam F1 Clay El Adobe Zg Hardpan El Pmm1uuo Application Made: Yes E] NoK New Construction. Yes E] No E] CL_ TYPE OPINSTALLATION AND SPECIFICATIONS: � m (Nm septic tank or cesspool permitted if public sewer i, available within 200fen+l ^ D�`+once from nearest well-----------------Distance from foundation-------------------Material .----------_------ No. of compartments--------------------------Size----------------------------- -Uqyicl depth--------------------------Capacity----------------------- - | |dDistance from naon�+ *eU.-----Di��nce �pm fu"n6*t�n-___.--�Didono, to nearest |ut ||ne_-.-�_' ' v Number of lines-------------------------- -------- of each line--------------------- --------Width oftrench----------------------------------- . V Typo of fi|h,, material ---------------Depth of Fi|h,r mn+v~|°L_-_-_Tof | length------------------------------------------ �/- ' C-7 ~ ' ��e R* Di +o *e| �� _^�� +o rest |o+ |i -Cesspool:— Si —. Diamote,'-�-��_-'-''-'-Depth--'''''--^-��'-''-'-'Uqu - Copaci+y'---_.'----'go|s. Privy: Distance from nearest well --'''---''�--��'-_'''Disfanco from nearest building'--'''-_--_.'-- -_ ' El Distance fonearest lot line------------------------------------------------------'--_______._____._____._____ ^ ` Remodo|ing and/or repairing (describe):----------------- ---------------------------------------------------------------------------------------------------------- ^ . � ._-'-____--_--__-_-_-.___.------.__--_._-..-__--__--__-_._---.--..__...__--.----_ ' ------'-----''�---'-------'---'-------------r'--'-----------'--------------'----' _.__---__-_-_______--__—___�____-.__-_.__--`-___-----'-_''—_----_--.__----.---- I hereby certify that I have prepared A� � the work will be done in a�orda with San Joaquin County ordinances, State [awsf_a"ftd rules and re I ti ns of the San Joaquin Local Health District. (Title)---- (Plot plan, m"pvin« ,=e , lot, location of "r"^e"' ' r laition foxells, buildings, etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED DATE- REY|EVVED 8Y-_----' -.��-----------��---_-.-------_---- u^�/� BUILDING PERMIT ISSUED------------- --------�-._-_-----------__-_--_----. DATE. ------------------------------------------- Alte,mtionsand/nrrecommen6afions:----_-_---------------___'-_-.______-.__ -__.____.________ _'-_-.---''---�'-'---'''--_'''---'-'-''''-�---'---__-''-__'--__'''---'-__--_.-_.'__.--__.----.--- I—------------------------------------------------- --__��---___----------__-----___---------____------__�---'_--_--_------___-------__---------__-----_---_---------_--------___--_ ._---._--__------_-_-------.-'_-_----__._.__------_---__--__-.__--__-- -'-'-'-----_-''-''-'��-'''--.''''''--''--.''''-''-'-_.��--'''--_-'''--''-''''--'_----''----_''-_ ~ r�=�� F|N/\L INSPECTION BY:.=��. ~3[��?----. Date_-..�---��-.-�--..-----------.------ � � SAN� J(�A/�U|NLOv�AlHE4JOlH DISTRICT � -- ' � /30 South American street 300 West Oak Street /o Sycamore Street o/* north "C" Street Stockton, California Lodi, California Manteca, California Tracy, California ES—q—2M 8'51 x°,i."J vv-2/oo