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--` Permit �� <br />FOR PERMIT <br />' (Complete in QuplIcmfm)�o+e Issued <br />This Permit <br />ires 1 Year From Date Issued <br />-- Application is hereby made to the San Joaquin Local Health, [)i;sfricf for a permit to construct n6' the work hmWin6*»cribwJ <br />T his application is made in compliance with County Orplinance No. 549. <br />JOB ADDR S3 AND LOCATION..�-�_ 4'' _,4 ., r ­- , 1-614- ­!� <br />74 <br />Contractor's NameC�> <br />Installation will serve: ResidenclerJA Trailer Court El Motel 17� Other 13 <br />Number of living units. Number'of badtooms Number of baths J__ Lot size 17f:� �4.0.... <br />Water Supply. Public system Community sfsi�m, 11 Private [-I Dept h to Water Table 49 ff. <br />Character of soil to a depth of 3 feet� Sand 0 Gravel E] Sandy Loam [I Clay Loam [] Clay F1 Adobe qj---1-T;rdPan M <br />Previous Appl;ca+lon Made- '0f yes,dc11e____.. ___ ) No�K-New Construction. Yes er'-`N`o M FHA/VA.. Yet [7j No <br />TYPE OF INSTALLATION AND SPECIFICATIONS: <br />(No septic tank or cesspool permitted if public sewer is a4asla61e~ithin 200 <br />Septi T k: u/poncr from nearest wall. " Distance from =^^=~' ^^~ '`~ <br />u.sposa/dDistance from =.~ <br />""�""� "=. ~..�.q-_' <br />�-~~.~-- to nearest lot <br />---_-�� <br />r�~~' � m <br />Number of .-Length of each ..r vviclm of french, <br />~~ <br />Type of0,er Depth of filter rvu+c6oL'�^�'-__]��| length-'..'Atc,10' <br />seepase P�-_-��-Pit- Distance D)Mum6o, of Distancee �u ^ ��~ e� -��._ Ww <br />� nearest A~�'^~'~-�------- _I'-.��D� - u, n*�, <br />��'~ 'D��6� _--� � 6 <br />- �Sppn, D,smvce fzvrn nearest well _-..... ,Distance from foum6otioo. material -____ ...... --........... . <br />Size: ��m�t�c--_-'-----____Dn�+ _�'------_'-__---'L�u� Capacity __-----'go� v� <br />[] ~ <br />Privy- Distance from nearest��i............_--D�f*n�a ��� n*mre�6u36�q'_'-_.__-'_---' *�' <br />oo <br />--------. �r' <br />F1Distance to nearest k*\�a_--_�----_-_-_-_----_'-_'_----'_--------------'� "° <br />epp <br />Remodeling and/or rap^i,i=qidasc6be):....... ....... . ....... -.--_--__-..................... --...... .... -......... ......... <br />�-_-___ <br />..............-__..... .................... ............... _................... ....................... ....... <br />---_------- -_-...... .... ... ........... -...... ....... ........ .............. ............... .... _..... ....... -­_~'..................... <br />.-- ^� <br />...... ............ --'-_--'_---........ ....... .......... _-_....... 1 -� . <br />+61s application and that the work will be done inaccondamco WA San Joaquin County ^ <br />I regulafions of the San Joaquin Local Health District. <br />ordinances, S+afe laws. and rules an� <br />(plot plan, showing size of lot, location of system in relation to wolk, buildings, etc�, can be placed on reverse side). <br />FOR DEPARTMENT USE ONLY <br />........... ,__-`___.................. ............ ~.............. ............................................... <br />.............. -....... -..... ---'---'--........ ....... -.... <br />-_'.......... ~...... ........ -............................. �... ....... ..................................... <br />'_-'_-_-___-__-_-.'_ <br />FINIAL INSPECTION 8Y_--. Date`--' ~ <br />rJOA�UINLOCALHEALTHDISTRICT <br />16011.n=°wn Av*. umwe4,Oak Street <br />v*"^m".ua/fornia Lodi, California <br />124 sycamore Stre�f UsWoo 9th stre*t <br />m=*=.Can*=ia r==.Co/Sfo"ia <br />