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- -� <br /> APPLICATION FOR SANITATION PERMIT Permit No. .. <br /> k�o�m�tm �n � <br /> ` --- --,'--' <br /> Date Issued ----- <br /> Application <br /> ./App|ico . is hom6v made to the Son Joaquin Local Health District for o penn|+ to construct and install the work ho^m|n described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> ^�� ` <br /> ' <br />. '"'"."^" ^~� ��~~.~ . <br /> Installation will serve: Residence 2-;"Xpartment House E] Commercial 0 Trailer Court E] Motel [] Other 0 <br /> Number of living units: - Numbornfbednoums,°2.. Number h, ^/_�,o+ size ------------------ <br /> Water Supply: Public system Commun�ity system El Private <br /> J2 Depth <br /> r Hardpan <br />/ ���~�r � s�_� depth � 3 �� � ou um U ' u U mzme <br /> Previous Application ----. .~' ^ ;�ONew Construction: _ E] - �%FFIA/VA:-Yes Clay <br /> -- -_' - <br />' <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: ' <br /> (No septic1aok or'cesspool permitted if public sewer is available within 200 feet.) <br /> ---------------- <br /> Septic Tank: Distance from nearest well Distance from fo ndafionlo­" <br /> ' <br /> Disposal Distance + m| n �a n� u to w �o f � t <br /> ' ��' Number of lines Length of each ||no /f-p9'-- Width of trench x����.,r-^---.. �-- ' <br /> Type of:fi�ter <br /> Seepage Pit: Distance to neare t we1L$_V_a_1---Distance-irom joundation-----/!��Distance to nearest lot ;ine----------------- <br /> C°^^p""' "'s'~^c" from nearest ~`^ Distance- from foundation Lining— material- 4 <br /> ' no�mo <br /> -------------------------------------------------------------------------- <br /> ' ---------------------------------------- <br /> I hereby <br /> ordinance, a*e laws <br /> ���o��--� �� ' ����� ==� � ^o^' c'o / <br /> | Zro <br /> �[ --'-------'----`--- -- - <br /> ='.__..__,_-__-__-__-'-- ''--�''`.-- -----------------------------------------------------�-�- <br /> � /�� p|an. ��ing � � � |n��on � s�m inm w� �l�a. �. oan � �� on ��� �� <br /> / - <br /> � <br /> ' <br /> APPLICATION ACCEPTED �Y_�7-��.��' DATE �' <br /> � ---'--------'-'--'------'- '' 7' ------'--- <br /> ' <br /> REVIEWED BY------------------------------------------------------------------ ---------------------------------------------------------- DATE---_--- -------------------- <br /> BUILDING PERMIT <br /> --.____.-_.-BU|LD|NGPERM|T ISSUED_. -- -_-.''-'' '-'_-.--_'-'--''--.- DATE------------------�--'-''-''-''--.- <br /> ------------------------------ <br /> l8 SAN - LOCAL HEALTH DISTRICT <br /> JOH^» West Oak Street oxSycamore m,=+ owNorth 'CrStw° <br /> e""kto". California 5mMF-: / ~°'»T' Lod|, California wa"tec°. California rraov. California <br /> eS-9-2w . x°./md 1'57 r.roh. <br />