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FOR OFFICE USE: - --- -------------------- - ------------ --------------------;----------- 42_____ APPLICATION FOR SANITATION PERMIT Permit No. -------------------- --------G-11 ---ewe"--'-- (Complete in Duplicafia)1 --- This Permit Expires I Year FroDate Date Issued Issued --------- - ------------------------------------- m� Application is hereby made to the San Joaquin CocaleiiIfY'Djsfrict for a-permit to construct and install the work herein described. This application is made in compliance with County-Oj'-�di�n-a'-n-c�e—No--5�49. JOB ADDRESS AND LOCATION------- ---- ------------------------------------------------------------------------------------- Owner's Name------ ---------------------------------------------- ----- ------------------------------ Phone._:�7/� Address,.---------------<571 ------ - - -------------------------------------------------------------------------------------------------------- - ------- Contractors""Na-ii�e-----71-/:�—�l/-/ - ------ --------------------- . ----- yse, Trailer Installation will serve: RaeTidePneiR "Apartment rTr!rfff6'n f Ho 7e6^,A 0"'- 11 -,I,r Court F1 Motel Other ❑ m!mercia N-5 Co r . W Number of Ig units: 7- mber of bedrooms b�erof;L�aths size ----------------------------------------------------------- _ _ .a AA Wafer"S6pply. Public system a unityS'4 rn El PrivateW Depth to a e Table -------- ft. Wg �6, El Cc Character of soiljo a depth of 3 feet: Sand ❑ Gravel E] , Sandy Loam E] Clay Loam E] Clay 0 Adobe-W Hardpan Previous,fApplicaf ion.�Made:,w(lf4es,date----- .—,),—No..D—.,.New—Cons.tr.uc.,tion: Yes E] No E] FHA/VA: Yes Ej No Ej TYPE OF INSTALLATION AND-tS`P'EC ICAT16N (No septic tank or cesspool°permitfed. if-.-,pubic sewer is available within 200 feet.) P_ Septic,Tank: Distance fRom nearesfaell. _1---------D i 9'177n Otf a u n d a t�06 n- ceLf rd ----- .......Material-------------------------- ---------------------- CSi No. of c4partments-----1-96 -1--------.Size---____------------ -----------Liquid d,pth---------- --------------Capacity---------- ----------- Disposal Field: Di�fdnce Jorn near st w I Dirt a4ce&-Vr6`m1 ifoAndaf ion i--------------Distance to nearest lot 11n.___—_,> Length of each line----- JX �4� Number of, lines___. ------- Width of trench.... 74< material__.-Type of filter I -Depth of filter material____--_- .... ---_-__Total length-------- 1 0 ---------------------- Seepa le Pit: Distance to nearest well ---- -------- Distamce from foundation---------- ___.--.Distance to nearest lot line-----------------Number of,, P;fs--- _L-------F" Llining material______ ---- -- ........Size: Dial me#fer------------ - - - ---Depth.-------------------------------- Al . IP I Cess pb8`1'- MM-n-ceM'-orn nearest well....__ ---------Distance from founclafion._.._met----- _Lining material____________________________________. ko� ❑ f Size: Diameter.------- -------- ---------------------------- -------Liquid Capacity...-------------------------gals. Privy: Distance from nearest %A,"-11------ Distance from' nearest building ----------------------------------------- 6;SianCe-AogNgarest lot flue...__.._. . -__ _----- -------- --------t-A ----------- -- At f -- ----------------------------------------------------------------- g� j! Revod'qli— —nd/orKepa�ring_des rime):_-- --------- - ------ -- - -- ------- 9 ----- -- --- - -- -- ---------------- .. ......2__&Y26,s ------------ - - --- -- ----- 4� ejh"6 4�W�4 --- I hereby cerfify,+ha+j._l..haveTpre are isapplic6fio an that`W6--work-will be done in accordance with San Joaquin County ordinances,'State laws ant{ rul4s'tan r.gulations of the San Jgaquin Loc'aITHeaIf'9'lIJistri'cf. Si gned] - ------------ ------- A --- ---4N11 ------ ----------- -------------------------------I------------- --------._(OwRer and/or Contractor) By:------- - --------------------------- ------------------------------- ............. ------------------------------- ------- -- --- ----- (Plot plan, showing size. of 1. R. , location t)fisysi6min.,r.elaf.ion,.f.o.' buildings,ells, buildin etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY 1 j I APPLICATION ACCEPTED BY--------- ---- - ------ ---- ---------I-------------------------------li-4......DATE--- 7--- REVIEWED BY---------------------------------- ........ ------- -----------------------------1'----------------------- "----_(J'_I....... DATE------------ BUILDINGPERMIT ISSUED--------------------)---------I--------------------------- ------------------------ DATE--------------------------------- --------------------------- Alter +'torecommendations:-; and/or _ _47 -Owl ------------- n, --- ----------- ----------------------- ------- ------------------------- Is! wilk FINAL INSPECTION BY:.------- --- ---------- --------------------------- Deer_ ------- SA,N,.JOAQUIN,LO'CA'L�Ht'iEAL�TMR-fl(STRICT 1601 E.Hazellon Ave. 300 West Oak Street 124 Sycamore Street 205 West 9th Street Stockton,California Lodi,California Manteca,California Tracy,California F,P.00.