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m_ <br /> *� �� <br /> APPLICATION <br /> " APPLICATIONFOR SANITATION PERMIT <br /> - ~ � <br /> (Comp|efo in Duplicate) 1 <br /> plication is hereby made to +he San Joaquin Local Health District for ermit to con'sfruid and install the work herein described. <br /> application is made in compliance with County Ordinance No. 549 <br /> -------------------- <br /> JOB ADDRESS AND LOCATION— ­ - ------ ---- <br /> Apartment House F] C�mrercial', Trailer urt Motel [:] Other Ej <br /> Installation will serve: Residence (�o <br /> Water Supply: Public sysf6m VcCommunify system n ' Private <br /> Character of soil to a depth of 3 fe�t: Sand E] Gravel E] Sandy Loam E] Clay Loam E] Clay F1 -Adobe Hardpan El <br /> TYPE OF INSTALLATION AND SPECIFICATIONS- &Kle <br /> (No septic tank or cesspool permitted if public sewer is available wimthin 200 feet.) <br /> Septic nk: Distance from nearest f dafion ------ al <br /> Ce spo, <br /> Type of filter maferial­f��142PIA----Depfh of filter material------ <br /> ---------------- <br /> I hereby certify that I have prepared this applicati 2.and:,fhat fihe work will be done iWaccorclanice with San Joaquin County <br /> ordinances, State law rules and regulations of the San joaquin Local Health District. . <br /> 7P -----------------------------------------------N V- AOwner and/or Contractor) <br /> (Plot plans, showing size ofi lioi, loca�flon f�systern in relation to wells, buildings, etc., must be filed with this applicaFion). <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATIONACCEPTED BY------------------M---------------------------------------------------------- DATE--------- _;0------------------------------ <br /> Alterationsand/or recommendations:------------------------------------------------------------------------------------------------------------------------------------------------------------ <br /> ----'----'--------''---''--'------'---'-----'--'-'--'''--------''-------'-------'----'----- <br /> -------------''-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> � -------------------------------- <br /> / ___'-_-''-__''__.'__-'--_.-__-''__-'-_----_.�___' __---_''_-'--'---''-' <br /> / PERMIT No— -- ISSUED.- /y-�� _-__JDo+o FINAL INSPECTION '__-- <br /> .- --'-----»----r—'~ �~ ----'---- <br /> \ <br /> � SAN JOAQU|NLOCAL HEALTH DISTRICT <br /> � <br /> 130 South American Street � <br /> v <br /> Stockton, California <br /> � ' . <br /> so-9_2w 9-50-v*1639 \ / <br />