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„ , ” FOR OFFICE USE: <br /> .. - <br /> ��-�----- t_­�;;T, OR SANITATION PERMIT Permit No.- APPLICATION h[Complete in Duplicate) � �- - -� Date Issued------------------ This Permit Ex� ires 1'Year From Date Issued <br /> Application is hereby made to the San Joaquin Local Health District for a?permit to construct an install the work herein described. <br /> This application is made in compliance wifh.County Ordinance No. 549. <br /> JOS ADDRESSAND"LOC TION - :c?T1�1J '� �� p'! !f/ 5 .�!!!1' ` CI.�-._.... <br /> Owner's Name /�Q!✓_ _.. �` --------•--------------•-•- -•-----••------------------------------------ ------------- Phone------------------------------------ <br /> Address---------------------- <br /> -----------------------••---------_Address---------------------- r fCri�%L <br /> Contractor's Name.......... tYC,F-/-----------=----------------------•-------- ...._.. ... ._. Phone----------°•-----------U--- <br /> Installation will server"Residence ❑ Apartment House`❑ Commercial Trailer Court ❑ Motel ❑ Other X <br /> Number ofYliving units: -0---- Number of bedrooms -______ Number of baths ________ Lot size .1----------- ---------------------------------- <br /> Water <br /> --X_--�y_ ' __ <br /> Water Supply: Public system®Community system ❑ Private ❑ Depth to Water Table 7.62 ft. . <br /> Character of.'s-04 to a depth of 3 feet: Sand E] Gravel ❑ Sandy Loa�t� .Clay Loam, Clay ❑ Adobe ❑ Hardpan 00 <br /> Previous Application Made: (If yes,date;------------------------) No New Construction: Yes a No ❑ FHA/VA: Yes ❑ No , <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: I � <br /> '(No septic tank-,or cesspool.permitted if.public sewer is available within 200,feet.) i <br /> ,I I � <br /> P.IJ <br /> ��-- <br /> .Septic Tank: Distance from nearest well_� /,r"_Distance from foundation.----l_C?---------Material------------- _._ ___-..__._ <br /> of compartments-,____._ Size----------------_-------- <br /> NO.' - 1 Li uid de th__.___.. ��.�__-_ _ Ca eci <br /> f -� , : --,Liquid <br /> p p .t ty /cif P_ <br /> 7� 4 <br /> Disposal Field: W. Distance from nearest.well./�OIt Distance from foundation-_______Q__ ___Distance to nearest lot line_____S :... <br /> ®[ r Number of. lines------ ----------1----:-- -----Length of each ime----- : 0_------------"Width of french--------- <br /> Nu <br /> mber � <br /> Type of filter materiaL___p � _.__,Depth of filter material--------!T------_----Total length--------------YO__ <br />