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- ' <br /> d~ <br /> � <br /> APPLICATION F���� �J��U��k����h� Permit N�. <br /> .~ ^ --�,�^o�� FOR SANITATION^^ ~~^` ' ----' ` <br /> in Date b,un6 <br /> Ao\lum+ipn is hereby made tothe San Joaquin Local Hou|H` District for o permit to construct unJinstall the work herein described. <br /> This application ismade incompliance with County <br /> � <br /> O 349 ` <br /> Contractor's Name Trailer Court [] Motel Ej Other E] <br /> Installation will serve: Residence Ej Apartment House 0 Commercial 0 - v. 44 <br /> Number of living units: --P-L-Number of bed � r Tal�letQ! ff. <br /> Water Supply: Public system a Communify'sysfern 11 Private 0 Depth to Wafe <br /> Character of soil to a depth of 3 feet: Sand [] Gravel El Sandy Loam El Clay Loam El Clay El AAobe R3,Hardpan <br /> Previous Application Made: Yes E] No &�-- New Construction, Yes)e No D <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> Septic Tank: 5tance from nearest well-----------------Distance from foundation----------- <br /> D'isposaj Fie�cl: D tance from nearest well-----------------Distance from foundation <br /> » ^ ~'~'' --- ----------------------- <br /> o���T ' <br /> | <br /> to neu,eu� \o+ |in�-'�°- <br /> Seepage Pit: Distance to - -�—L-�-- <br /> � _ Dio ��, � Don+6' <br /> Number qf p�v ./ ---.—unmq mo= a^� material .. <br /> Dina6nm nearest wo«( Di6ance from fnum6u�o�'-'�'_� U�n9 <br /> Cesspool: ��p ' --��____.__Uo�6 C�poclt�'-------ga�- <br /> �rs <br /> Sbu: D�motec------'— — ` <br /> [�don�u from nearest building ----__--_---'-'- <br /> p�vy: Distance from neono� w�/--'�''--'--''_'''— <br /> Distance tonearest lot line------------------------------------------------------------------------'---'--'-'�— `4 <br /> ' <br /> ~ Remodeling 'and/or repairing (desc,ibe):---------------------------------------------------------------__.__--_. _________________.______ <br /> __.--._-_.'_____'_--''--'''_-'-_.'_-''-_-''--' -_- ,__.--__-__-'-__.-__-'-''--'-''--. <br /> . .(Plot plan. showing size of lot, location of system <br /> ___.__--__.—.-_---._-_—_'----FOR-..___.__-� -_-'__-____-__------___—._--------------- <br /> --._-.� <br /> ----------------'----'---'--''--'''Hnat � work �U �� �n� |namnnr�an�� w�h �on Joaquin County <br /> '--� ) � w»6 �G� a application �o� wo, / � Y� <br /> / <br /> ordinances. Statel and rules and regulations of the San <br /> \- k-\'s- <br /> . recommendations r--.--.`�--.--_—_-,-.—.__---.--_-- -^� <br /> ^~"'t, ~-.--'''''---------------------.---_---.--.. ---'--'-'-'---'__-_'''--'=_-'--------------------------------- <br /> ------------ <br /> '--_ __'''—_''---'''-''_''_.-'—'''--''---''''--'''-'--''—''-''-''-- ---'---'--_''-- <br /> -''-----' --�'--�_—''-'''-''------'-''''''--'''--_''_''—'-'''-'-_ <br /> , �� <br /> Do+�'-�'�'''�� -'��-'�'-''-''-''--'--'' <br /> --------- <br /> FINAL INSPECTION BY�'»°...�..-���r,�r��.�...�_----.. <br /> SAN JOAQU(N LOCAL HEALTH DISTRICT <br /> ` s*�w 814 North "C" Street <br /> 130 SouthAmericanStreets»uvv»� Oak Street /»z ;ymm*= �* Tracy, CaliforniaWan�� California <br /> Stockton, California �m�i. ou||H,�ia . �r <br />