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ICAT�ION FOR SANITATION PERMIT Permit No. <br /> (Complete in Duplicate) <br /> T�plicafion is hereby made to the San Joaquin Local Health District for a permit to construct and install,the work herein described, <br /> application is made in compliahce-wifh County Ordinance No. 549. <br /> JOB ADDRESS AND �OCATION------236.........5--------MIC-111-C.---ect;-----------------------------------------------­---------------------------------- <br /> addms�__-----_ --_----_—._—_--_____—_--__—.--__—.—_--___—_--_--. -} <br /> Cnn racto/, Name----- ----------------------------- Phone----------------------------------- <br /> Installation will <br /> --__'_._--.Insta|la|ion °U| oen^m Ros�enceng Apartment House E] Commercial F] Trailer Court [] k4nfe| []� C*ho, [� <br /> Nurn6a, of living units: -�------ Number of bedrooms a Number of 6oH,, 'Lq+ size -------------------------- <br /> Water <br /> __---- � <br /> ' o+ Water Table 12��fL <br /> Character of soil;fo a depth of 3 feet: Sand O"ravel E] Sandy Loam E] Clay Loam [] Clay E] Adobe PU,' Hardpan <br /> Previous Application Made: Yes E] NqX New,Construction: Yes El` N4� FHA/VA-. Yes 0 No El <br /> TYPE OF INSTALLATION AND SPEdFICAT <br /> (No septic tank or'cesspool permitted if public sewer is available within 200 feet.) <br /> -Septic Tank: Distance from nearest well---—---------Distancl from foundation--- ---------Material--- <br /> Disposal Field: Distance from nearest we��',---- ---- Distance from foun6ation---;?__0--------Distance to nearest lot line__67�' <br /> C------------Distance )u afl0n_._R_q_ f e <br /> Seepne Pit- Distance to nearest well- -from fc I --_Distance to n(AS_�e11oflr, ___15----- <br /> � Cesspool: ~°',"," '^,^' ^~,'~~ ~~'' ~'~~^`~ ^~^ foundation ~^^g ^'~'~''~' " <br /> ' --»�4�'—''�����c���'—��^x���*_�''��*�.x�_—_ \ <br /> "=°��—_--_-_--.�__---_-_-_--.___.—_..----^---. � <br /> �� ��� <br /> —_'--_—___.'''—'--'''—__''' ''--.—__. —_---___'''—__'''—__--'--.'--.'__._—.—''—_---'—'— . <br /> � <br /> ---_—____—___—___'.—_------_-.___-__—.__.'_---__.---___'----_'_—__----_ -------- <br /> I hereby certify that I have prepared this application and <br /> that work accordance with San Joaquin County <br /> ordinances, S, I rs, and rules and regulations of the San Joaquin Local Health District. <br /> am <br /> ---.----_-----'-_'_---.-------_----./O*ner and/or <br /> Contractor)7---I ----141?� \ <br /> By:.'__............. le)-------------------------------------------- --�^_- ' <br /> (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc., can be placed on reverse side). ` <br /> � <br /> FOR ~^~~~.~..,. ~~^ ~.`^" . <br /> BUILDINGDATE- <br /> 4 <br /> . PERMIT .S~~ � <br /> Alterations and r reco <br /> � -'----- l <br /> .. =- - '- \-- !- - ` ^�� J�!��^�� - - --- -- ` <br /> - -^`^-` '—__---_-------._—. <br /> u/- _- .. _____________ { <br /> �°X ' <br /> . - ,/ � <br /> RN�L |N5PE�T|(]N� 8Y� —+.`'-/' '—�' Do��—��—'��.��'�—J ~�—�—._'---_—''' <br /> 7[ `�7' ' —'--)Y ' ' ' ^ <br /> ' 1/ ' <br /> ' ~ SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> /30 South Am°w"°" Street 300 West Oak Street 02 sp"m"= Street o/* worth "C" Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> ES-9-2M n°.u°d 1-57 r.r,co. ` ( <br />