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+ ' <br /> APPLICATION F OR SANITATION PERMIT Permit No. <br /> (Complete in ~~r.~'~, ' Date Issued ''�h_2-' � <br /> hereby made to the San Joaquin Local Health District for a permit to construct and install the work 6etein described <br /> This application is made in compliance with County Ordinance No. 549. <br /> 1311 <br /> Installation will serve: Residence k"'Apartmerif House E] Commercial E] Trailer Court [] Motel E]. Other <br /> Nurnber of livin.g units: Number of bedrooms I---- Number,ofj b-eiths- Lot size ---/ 00---------------------- <br /> Water Supply: -.Public;system, Commun _Depth,to.Water.Table ---------ft. <br /> -110,Hardpan El <br /> Character of soil to a depth of 3 feet: Sand E] Gravel F1 Sandy Loam Ej Clay Loam 0 Clay Ad,pb`e <br /> Previous Application 'mape. .=" No R5, New Construction: '�' Er No ' <br /> TYPE OF|NS?ALLAT|ON AND SPECIFICATIONS:' 4 <br /> (No septic tank or',cesspool O!rmitted if public sewer is available within 200 feet.) <br /> SePTkC <br />! <br />| kDistance from nearestDistancelfrom foundation--- M <br /> - -------Size 3 y <br /> u .o: D.^.a."= from nearest .... ~- Distance'from -_clat <br /> Type of filter material--- <br /> ' �* rn� Dist u"`e to "===^' well'--��'',,-Distance—&from foundation----- ` <br /> �[-- -�-El Nu�6�� ��p�,' Lining material--.-, ---.�S��� D|mmet��_-----Denfh---.---._.---- <br />/ |L- Ui�a <br /> Si <br />/ �"^p"°'' Distance ''�-' '--- — ---' Depth -~--� 0 Liquid Capacity -gv|s <br /> � <br /> Remodeling,and/or . . <br />. , <br />| --''---,-�'-��--�� ~ J| ` '- -' <br /> --------------------------------------------------------------- <br /> I hereby ceri�ify that I have ared this appl;cationand that the work will be done in`accordance with San Joaquin County <br /> an <br /> ordinances State laws, and rules and regulations Joaquin Local Health Distric <br /> | - <br /> (Signoo)-------------- <br /> ------------------------------------------ <br /> By� <br /> (Plot plan. showing size of lot. Ioc__ <br /> o7,y m t,,n to wells, buildings, etc., can 6"elplaced on reverse side). <br /> � "O° "=,,`°.""^... ~~^ ~.,^. ° <br /> \ xEv|EvvED u/-''-_____________________��_______�___________________ DATE_____----------------------------------------------- <br /> BUILDING <br /> ____- ___ <br /> � BU|LD|N(� PERMIT 2GUED'_---_-,^—..-._-__-.__--.__.__-.-------- U/TE--.—_------.-�'____-_ <br /> \ A�e,w+�noan6/n,',acom�wn6at;xno�.,--_---'_--------_--__---_-..__--------'__----_.-_.____._ <br /> . ' <br /> —'---- ' ' <br /> \ ' Du+�. <br /> ^ ------ <br /> FINAL |NSp�Cl| --__ _____-__________________________ <br /> 'y(- LOCAL HEALTH DISTRICT <br /> /s: s'" m <br /> �" s*.w oww"*k 'Crs�"° <br /> 130S"mm � "", °,~,, _ <br /> | Sm"�"" California Manmma. ca|m�"° Tracy, o�a="� <br /> | ' ~~~`~'' ' -- <br /> \ eS-9-2M m°.��<i 1'57 F.p.nz <br />