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APPLICATION FOR SANITATION ARMQ[ ' Permit N / <br /> � ^ - in Duplicate) <br /> bate Issued <br /> Application is hereby made to the San Joaquin Local Health District for a permit to constructerid install+he' work herein described, <br /> � <br /> |xisapplication made in compliance wroCoumv Ordinance No. 549. <br /> ` <br /> Contractor's Na <br />| � mw-- ----------''^------'-----'' <br /> Installation will serve: ~ Apartment House 0 Comm°rcia�o Trailer Court El Motel D Other � <br /> � <br /> Number of living units' --.. Number of bedrooms ------- Number of baths Lot size '----- <br /> W� S��. �ic �� � Community 9�� � �� � <br /> ------ <br /> Character of ,vU to o depth of feet: Sand [] Gnmn| [] Sandy Loam [3oy Loam [] Clay /\6o6*D�^ Hardpan 0.Previous ��pp|�mfvn Made: 'es Construction:'��* Construction:' Yes c�" No [] <br /> ' ` ' <br /> TYPE OFINSTALLATION AND SPECIFICATIONS: <br /> ' <br /> (No septic tank or cesspool permitted - public sewer is availabl-within 200 feet.) <br /> Septic Tank: Distance from nearest <br /> No. of compa�momt,-.^.�.._---��o'��..~~4.mc ����uqu/� �np*x��.�..���«..�-'c.up*o/,y-� ..c���.. <br /> Disposal` ��J' Distance � m �nrap= well------------------ from nJu� _-'---- ---_ <br /> unD�����c� +o om,,n,� |o+ |ino � '- <br />[ ! <br /> n Number kno, ' - Length of each line.............................Yiclf of french................................... <br /> ' <br /> Type of filter.material Depth of filter mu+e,iai �ota| length <br /> See <br /> ge Pit: DMance to neares+ well---/,* ........Distance f to nearest lot line.,._16-------- <br /> qNumber ~' r^~-J----'~^'^g ^~'~'~��~~--`~"---- Diameter----------- .............. ''-----------' <br /> 'Privy: Distance from nearest well..................................................Distance from nearest =".dinq--'-_'--'-__ <br /> ^ - <br /> KomnJn6g (describe):- <br /> � x-r ~ <br /> � --'--------------------'---'------------'-''-----------r'--------'--'------------' <br /> � -__--.---_-_--._--_-_-'-'-.---_-_-_-_-----_�---.--'-------_-------_._-_-------_--- <br /> � ----------------...................................................---------------------------------------................................................................................................................ <br /> ordinances.I hereby certify that I have prepared this application and that fh�woyk will be done in accordance with San Joaquin County <br /> -- State0 <br /> ' N <br /> X `-~--'-'- <br /> - <br /> , -~ <br /> (Plot plan, she Size o 01 1 a 0 - sy rn in re alson to wells, buildings, etc., can be �arced on reverse side). <br /> | <br /> KGvsv/BoFOR DEPARTMENT USE ONLY <br /> . <br /> BUILDING PERMIT ISSUED--__���L'_--'_----.--.--_'-''��'----'—. DA/�---'�n�.----.-'-----'_- <br /> � AJ+*r��,man6/vr ,e"omma^dos*ns:-'_---.-._------_--------- ......... -----------------------....................................... <br /> _. <br /> ---'-------------'--'`-------------'r-'-------''-'------------'-- <br /> , <br /> ...............................................................-...........................................!-.----_-.--'_--_..--'-----._-.----'--'--__- <br /> ------------------------------------------------------------------------------!'----'-.........--------------------------------------------------------------------------------------------------------------- <br /> - ~- _-------__---__---___-.-`_--FINAL INSPECTION BY:_ . <br /> � <br /> \ <br /> 130 South Am ica -Stram� 3 .Gar fee 132 Sycamore Sfrovj 814 Nortli "C"Street <br /> | Stocktoncu/ifor"/ <br /> B-S] x"vi=a vv-2/00 <br /> | <br />