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APPLICAT10N FOR SANITATION PERMIT Permit No.i» Date Issued � <br /> ` -7 <br /> = ! <br /> Application is hereby made to the � Joaquin Local Health O���f� o permit to construct o U--the�� hereindescribed. <br /> This application is made in compliance with Co)�nfy Ordinance No, 549. '0 <br /> _e a_ �----40 - -- ------too-4W <br /> 44 <br /> | <br /> | <br />. Address" --�-.-- <br /> - Phono <br /> Contractor's Numu-_-._-_- ------__ <br /> =".a.~. will serve: Residence FApartment House oto [_] <br /> l Commercial E] Trailer Court 0 <br /> ' <br /> Number qfliving un|h47 Number of6odnzom,=27' Number of 6u+ s-�_7- Lot �zu <br /> 7f-_..'_-'-_ <br /> �o� � Water Tu�n �e��- <br /> Wutor Supply: Public oynfom 0Community system El P,lvu+ek' u "lay Loom [ �|uy �] �6o6oHardpan 0 <br /> Character mfu�\ fm depth of feet: Sand [:] Gravel E] Sandy Loam a^°� <br /> ` <br /> Previous Application Made: Yes n New Construction: Yes 3 NoRq-'lFHA/VA. Yes El N» R;— <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic <br /> | tmnkor'ce,spon| permitted if public sewer isavailable within 2UOfee+.) <br /> ^ <br /> ---- --------- <br /> S <br /> D�s+onco from noor*uf well ..Disfvnce from foundation Material �__.--.--No. of compurtnunt�.'-'-'-''�-S��'.__.-----_�qui� 6 ��h - Copadt - <br /> e fromfou 6n� <br /> ' Air <br /> Type of filter material./,,� ----.Depth of filter ma erial <br /> Seep8ge-Pit: Distance to nearest well---/--------Distance fjom,,Lo��'. <br /> --------------- <br /> \ cs --- <br /> Number of pits------ - ^ p <br /> - ..go/�. <br /> �r� <br /> __Lining mofor.o|Di,tonco from nmoro�� wuU__'''�-Di�unce +vnm foundation <br /> Cv^ pS��� Diomatoc--�---_-----Depth � Liquid Capacity <br /> -- � <br /> D�° from ���� 6�k�|ng- <br /> ' p�'y` Distance f,om neonad well--------------------------------- no, --------' �'' > <br /> Distance to neuro, �t |�o-_-_---------.---.--____�--''''---'--''__-,''-'-'-'-'---- <br /> t El <br /> � <br /> � ---------- <br /> ---­---------------------------------------------------------------------------------------- <br /> --_ . �� '- _. .. .. . -''-~--_------------------------------ <br /> ------------------------------- <br /> ---''-'' <br /> ^ .--'' - <br /> !) ' _ - ''---___.-..__-_-__-' <br /> '''___'-'_-''--'---'__-'-''---' <br /> '----------'--'�-'-- <br /> ' hereby ' - � | �� prepared +6� application and that the work will be done in accordance with San Joaquin County <br /> Stateaws, r^ <br /> mf �heSan �*aqu� ���u �om�wum��� <br /> / �� <br /> p/9n*pF <br /> ' Ak :t -------------- <br /> °' <br /> ' Vquf plan showing or I ocation of system in relation to wells, buildings, etc., can be plac <br /> FOR DEPARTMENT USE ONLY <br /> | DATE <br /> r �� <br /> - <br /> \PpUC�T| ]N ACCEPTED DY.---'-''''--� ] -_--_--_7'-_-_. <br /> DATE----.. <br /> REY|EYB} BY. -_' -------------------------- D�TE. �_---'-'-'''-''---- <br /> �. ------------ <br /> BUILDING PERMIT .__--___-. �'_-.--. - <br /> _______ <br /> A�w,��nno and/or ,o��mnoo6a+�»s� . ' ' . .- ---- <br /> 34 --------------------- <br /> ----------------------------------- <br /> .�� �r'J <br /> ' Oo�^ ' �x ��,c _--'------''__�-___ <br /> FINAL INSPECTION '-- �' - <br /> SANJOAQU\N LOCAL HEALTH O|STRCT <br /> /ao South American Street 30D West Oak Street , 132 Sycamore Street 814 North 'CrStreet <br /> Stockton, California Lodi, California Manteca, California n,��n California <br /> , <br /> i ` <br /> ES-9-2K4 . o°.isea 1'57 p,Pzu <br />