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` <br /> FOR OFFICE USE: _/_4115 <br /> Date Issued <br /> ued <br /> Application is hereby Aade to the Sian Joaquin Local Health District for a permit to construct and install ge work herein described. <br /> This application is made.i�.compliance with County Ordinance No. 549. <br /> ------------- <br /> --------------------- <br /> Insfallafion will serve: i Residence" I nt House' [] Commercial E] Trailer Court Motel E] Other E] <br /> Water Supply: Public,s'ystem E] Community system: El Rrivate,[�j Depth to Water Table Y' ft. <br /> Character of soil +o-a depth of 3 feet- 'Sand Ej Clay Lo'a�n'[] Clay E] Adobe E] Hardpan <br /> Previous Application Made: llf yes,date--------------------I N o,,EP New Construction: Yes E�j No.E] FHA/VA: Yes [] No E] G", <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank'.or cesspool p�rmittecl if public sewer is available within 200 feet.) <br /> Septic Tank isf from nearest well_4�--------Distance from foundation-_J <br /> 4".Sf*. comparfrn'ents------;�-- --------------Size---- Liquid d�p�h------V_-------------Capacity---�?------ <br /> .Disposal Field: Distance from nearest well__��_6-------Distance'from foundafion.12�------------Distance to nearest lot lineA------------ <br /> Type of filter m6ferial/=%-Z 07WDepth of.,filter material.... --------Total <br /> Rnmodeling and/or repairing /Jescribo :'''-'''-'---'�-�------'__.-'^_--''__._-_�-'--''-''-'''--'-''-'_-'-'-' <br /> --------------------------------:--_---_-�----__.-'_-__--_---_.�----'---._-__--_-----.--.--.------_--_.. <br /> ' <br /> ---------------------------------------------------_-'__-----'---'--__'--.--_-____-.-_-'-_--''-''-''---_'-''-'-�---''--� � <br /> _-'--'__--------'-?'-_'----.'-�.'-__. - <br /> hereby certify that I have'pre' ared Ais application and that the.work will be clone in ac. <br /> cordance with San Joaquin County. <br /> ordinances, t te laws, and rules and re ations of the SancNJaaquin Local Health District. <br /> --- <br /> (Plot plan, s owing size of lot, lo a n 0 system <br /> ' � <br /> ' � . � - | <br /> APPLICATION ACCEPTED - D�Jc�� ������~� <br /> -��'-�----'---------- ----'--'-----'' - ---'------- | <br /> REV|Ew/BD BY -_. DATE----------------------------------------- <br /> / <br /> '''--.''-'''---�-'-'--_`---''-`-.-'---''''--'''-'' '-'---'' ' <br /> BUILDING PERMIT ISSUED. DATE' <br /> Alterations an-' - recommendations:- � - --------'-�r----�,''-------'--_'--------''-----'--'-`---'- / <br /> '-'-'-'`-- ' �� . �''- . <br /> '-------�—'^���� -'°����v�-'' --''�'--'~���' .._---. <br /> ------------------ ------------------------- -'''_-''--'�--'--'''---'-'-'--'-'''--''--''--'''-.'_----~*/'_--'---- <br /> ^ � ~ / <br /> --'^------------------------- ------ --- ----''`-'''--'~~-'''--'''---'--''----'�'�''''-''--'-'------------------------------------------ / <br /> - <br /> FINAL INSPECTION8Y� ---. Du+o-x.��..-�^}./� +� --------_--.---- | <br /> � SANJOAQU|N LOCAL HEALTH DISTRICT ! <br /> 1601 E.Hai&.116n Ave, 300 West Oak Street /24 Sycamore Street 205 West 9th Street <br /> Sl"cklo" California ^ Loch,California Manteca,California Tracy,California . <br /> ES 9 REVISED "'"° "" 3''63 ,po13. / <br />