Laserfiche WebLink
FOR OFFIgE USE: <br /> HIP <br /> 41 Date issued <br /> Application is hereby made to the San Joaquin Local Health District for a perm construct and install the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> Installation will serve: Residence 0 Apartment House 0 Commercial WeoTrailer Court E] Motel C] Other <br /> Water Supply. Public system Community system El Private P!roDepfh to Wafer Table -&- ff. <br /> Character of soil to a depth of 3 feet: Sand E] Gr'avel Sandy Loam E] Clay Lo-am E] Clay 0 Adobe 09,3�.arclpan 0 <br /> Previous Application Made: .(If yes,date-----------7------ -) No 5Ro* New Construction. Yes "No E4o— FHA/VA: Yes EJ No iP­ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool'perrni+fed if.public sewer is available within 200 feet.) <br /> D;sposal Field: Distance from nearest well--------------._Distance from foundation--------------------Distance to nearest lot line----------------- N-1 <br /> Seepage Pit: Distance to Jarest well__1%YR`r---Distanco fer yndaition-_/0----------Distance to nearest lot iine__.x--------- <br /> S F <br /> Remodeling and/or repa�ring (describe):---------------9941V;0 e��_ _:e ------------------------------------------I--------------------------------- <br /> I hereby certify fha+ I have prepared this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules.a,d regulations of the San Joaquin Local Health District. <br /> (Plot plan. skowing.size of lot, location of syste re ation to wells, buildings, efc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> ` <br /> ! �APPLICATION ACCEPTED —---------------------------------------------------------- DATE..-1.0 6_2------_-- <br /> DATE' <br /> REVIEWED 8Y'—.—__----------''--'''—''''_�—''''_____.___._____ _________________________ <br /> ' <br /> BUILDINGPERMIT ISSUED----------------------------------------------------------------------------------------------------- DATE--------------------------------------- '—'_--___ <br /> Altw,w+ionsmn6/w, ,nconmmendatinno:--_--.~------ ----'-------_—.—.-----..—.-----' ----.. <br /> -------- --' � `----------- <br /> ----- <br /> ��� -- --'' ------- <br /> ------------------- <br /> —'- <br /> �— ��—'---------' <br /> s ' <br /> —'---'--''''''----_'`—'''—'--''---'—' ^—^ �_—^—_^^^—^^_—'`--''—�__—'','—_'—'—'--'---' <br /> ` J� <br /> -------_-----_---_----------' .----_-----.—.,°.�~" ------------------------------------------ <br /> ----------- <br /> .___—'—''--'''�'i.---''---'''—''—'''— '--''''—_--'''--''--�'''--'—''—''—''—'--''---''—' <br /> ' <br /> ' F|N/\L |NSPE{�T|[)N BY:--.-��-��_-����'--=-=-----_. Duh�-----------�-------------- <br /> � <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT <br /> vmw` mxwxew*nAve. o*0West Oak Street 1o*Sycamore Street cosWest 9th Street <br /> Stockton,California ` Lodi,California Manteca,California Tracy,California <br /> =" ° """="" *°° 2M 3`63 F.P.c13. <br /> ' ~ <br /> ` <br />