Laserfiche WebLink
tit' APPLICATION FOR SANITATION PERMIT Permit No. _ ---- ---7 <br /> (Complete in Duplicate) I b� � <br /> Date Issued -_-��.� .--+53 <br /> is hereby made +o the San Joaquin Local Health District for a peeitto <br /> Application y construct and install the work herein described. <br /> This application is made in comp is c th County Ordinance No. 549. / )6i/�„ , <br /> JOB ADDR A D L CATION- /- -,--�-�-�` ---' � - ����� <br /> - <br /> Owner's Name <br /> _- ------- Phone-------------- ---- --------------- <br /> Address----------------------------------------- 4Z ------ <br /> q - A(j,0 -d-------f4-"`.4--------..-..--------------------- --•------------•-------------------------•--- <br /> -- <br /> Phone <br /> Contractor's Name-------- --- - <br /> Installation will serve: Residence ® Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: _ --- Number of bedrooms __4-- Number of baths 1..-_ Lot size -4�1 X---� 1,------- ----------------- <br /> Water Supply: Public system ® Community system ❑ Private ❑ Depth to Water Table -------- ft. <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe® Hardpan ❑ <br /> Previous Application Made- Yes ❑ No ❑ New Construction: Yes ❑ No ❑ <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) <br /> r�: ,-� <br /> Septic Tank: Distance from nearest well-_/ s��Distancg from foundation_----�d-_-.----.Mate <br />