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Permit No. <br /> ,,A�PLICATION ,FOR SANITATION PERMIT <br /> UV, u ~ ' ' <br /> (Complete in Duplicate) ~ ^ <br /> Date Issued <br /> � <br /> App? afion is hereby made to the ban Joaquin Local Health,Disfrict for a permit to constr t a-ftd/install-f ed. <br /> This application*is made in compliance w h County&r inanc No. 1.4�1 t��r I <br /> ^ <br /> ' Aud <br /> Contractor's .`~.. ^°-~~' ^.=� <br /> Installation will serve:, Residence Apartment Ho' use E] Commercial [] Trailer Court E] Motel E] Other E] <br /> Number of living units: Number of bedrooms ---/--- Number of baths Lot size ----------------------- <br /> - `,"= Supply: Public system dCnmmvnny system rn-E]--umpm-to Wafer./ubm-..=.f:-- <br /> Character ofsoil toadepth of 3 fept: SaE] Gra~ll E] Sandy Loam Clay Loam El Clay E] �Adobe -Z"ardpan �' . <br /> Previous Application Made: Yes [] No Z New Construction: Yes no" No n <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> 'Septic Tank: Distance from nearest well_k�"'__' Distance from foundation---- ------------Material-------- ---------- <br /> Disposal Field: Distance from ni�aresf well--Am ----Disfance1rorn- J�� <br /> .D*i'sfance to nearest lot line- '14 <br /> ----------------------- <br /> Type of filter m6terial__!_X-�v----f---q------(Depth of filter material----1- ---Total lengfhl <br /> --------------------- <br /> Distance to nearest -------Distance from foundafi_-,___S_� <br /> e4*-pmz6: - _ -------------------------- ,�UC-. `-- -�_ <br /> ap <br /> , . <br /> -_---__-'___ ' <br /> --------------- <br /> I hereby certify that I have pre-pared this application and ff IX(e work W'i ne in accor'dince wifh.Sann Joaquin County <br /> ordinance* <br /> . <br /> �v�_. ' <br /> ' ^ -------------'-- "' =.zz,���''��---___- . <br /> �� ��. �� � lot, ��� of system � ��o fo �� etc/can be - -on- reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> /\PPUCAT|C*J ACCEPTED BY <br /> REVIEWED BY _---------------_--._--._ <br /> HU|LD|N�� PERMIT |S5UED_-'''-�e�'---'''-'-__.''---'---'''-''''---'-' D�TE'-`��'---''''-'-'''_______ <br /> Alterations and/or recommendations:------------------------------------- - ---- ----------------------------------------------- ------ <br /> ________.___________.. <br /> --'----------'------r------------------------------------------------------ -------- -------------- ------------- -------------—_--------------- <br /> --------------------------------------------------------' '''''--_''''---''-__'-''---_'_---'_-.-''''-'--_-''--' <br /> .................... ................---'-r- ----------- ------------------------------------------------------ ------ ------- ---------------------------------------------- -------------------- <br /> - <br /> ------------ ------------ ��- '-'''''__-'''' <br /> �_''''-''''-_-''''_-'�'�--'---'-''-''-'-- ` <br /> �� <br /> FINAL INSPECTION 8Y�----. �����'�_----� D ��----------_______ <br /> | SANJtJAQU|NL]CALHEALTH D| <br /> � 130 s""m American Street � mmWest Oak Street /sz Sycamore Streeow w"*h "C" Street <br /> Stockton, California Lodi, California Manteca, California Tracy, California <br /> �. . sn-9-2w10-5/ Ra~js°Jvv-2/00 / <br />