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/ . <br /> | <br /> ' APPLICATION FOR SANITATION PERMIT Permit No. <br /> � <br /> (Complete /n Duplicate) <br /> '' Oe+o Issued Application is hereby made to the San Joaquin Local Health Dist rict for a permit to construct and install the work hetei ribed. <br /> This application is made.in. compliance with County Ordinance No. 549. <br /> 7i; <br /> JOB ADDRESS N XV4nCATI00N-- <br /> _g <br /> Name" - ------------ ---------------- Phone---------------------- ----- ---- <br /> Installation will serve: Residence PR—Apartment House E] Commercial El Trailer Court E] Motel El Other E] <br /> Water Supply: Public system F� Community systom El Private Uq-'6-epfh to Wafer Table <br /> Character of soil to a depth of 3 feet: Sand 0 Gravel E] Sandy Loam W�'IClay Loam E] Clay E] Adobe [] Hardpan <br /> Previous Application Made: Yes Ej No L4-'­I�ew Construction: Yes &�,, o rHA/VA: Yes N o 9;--- <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or'cesspool permitted if public sewer is available within'200 feet.) <br /> r Ic <br /> ;Lp,%sal-Flild: Distance -from nearest well---krO-----Distance,from foundation---/4-511--------Distance to nearest lot line---A2------T7 <br /> Type of filter maferial-ZIA - -- - th'-f filter material------I-e- ----Total length------- <br /> Seepage Pit: Distance to 11;�e6rest well-----4-49--------Di�fa-nc� fr rn foupoafion----A11­71-.Distance to piaaresf lot line---4F- <br /> or <br /> Remodeling and' -----------a4cl � 1 <br /> ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules and regulations of the San-Joaquin Local Health District. <br /> (Plot plan, showing size of lot. location of sy;sin r-eliation-fo,wells—, buildings,-efc..-can be placed on reverse side). <br /> FOR DEPARTMENT USE.ONLY <br /> -------------------------- <br /> BUILDING PERMIT ISSUED------------------------------------------------------------ -------------------------------------- DATE--___.__-----______ <br /> and/orAlterations <br /> '--_---'''---__-''''__.''_---__'-- <br /> .—. -?6�] .-__----_-.—________________.____ / <br /> --------------------------------- ---- ''''''''---''-''''-''-'''-----''----_--__.'-'' <br /> ----- -_. - __-._-----_-_-_-----_'-----------'----_' <br /> '-'--- '��-_''''_''_--'--'''---''—- -------------------------------- <br /> FINAL INSPECT - Date--- -- ----------------------------------- <br /> SAN JOAQUIN <br /> --_--._-SANJOAQU|N LOCAL HEALTH DISTRICT � <br /> /am South mm*,|=w" Street nonWest Oak Street mx sv""m"m St=.* nw m=*h ^C^ Street � <br /> Stockton. California Lodi, California Manteca, California Tracy, California <br />