Laserfiche WebLink
FOR OFFICE USE: <br /> .............. .......... ------ I This Permit Expires 1 Year From Date Issued Date Issued <br /> Applic:a-fion is hereby made to the San Joaquin Local Health Dist rict for a permit to construct and install the work herein described. <br /> This application is made in complian�e with County Ordin8'nce.No. 549. 0(-3- taft _S <br /> JOB ADDRESS AND L_ N <br /> Installation will serve: Residence Ap rtment House [-] Commercial E] Trailer .Court F] Motel El Other [Bw�: <br /> 1�ater Supply: Public system El e Depth Wafer a - _ - ft. <br /> Character of soil to a depth of 3 feet: r Sand E] Gravel F Sandy Loam [?I Clay Loam 0 Clay Adobe [:] Hardpan C] <br /> Previous Applicaf ion Made: (If yes,d cite --- No New Construction: Yes E] No 0 FHA/VA: Yes E] No E] <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> (No septic tank or cesspool permitted if public sewer is available within 200 feet.) 2 <br /> Sept ank: Distance from nearest ---Distance fvpm foundation--- --------- <br /> Disp old: Distance from nearest Distance from foundation...10f:0-----------Distance to nearest lot line_57__"... <br /> le Ir <br /> eng <br /> Type of filter ma teria _._w..........Depth of filter mater -----Total length ........ <br /> Cesspool: Distance from nearest well...------ --- _-Distance from foundation.........._.......Lining maferia-1............. <br /> -------------- <br /> r I hereby certify that I have prel6aried this application and that the work will be done in accordance with San Joaquin County <br /> i)rdinances, State laws, and rules and regulations of the San Joaquin Local Health District. <br /> (Plot plan, showing size of lot, location of sys*femin relation f wells, buildings, etc., can 6e.placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> ___----.-----------.--------__---_'----_--._---'—.---'--_—_--___------_'--_.. <br /> � <br /> — � <br /> FINAL INSPECTION or Date--- ..................................................... <br /> . <br /> SAN JOAQU|N LOCAL HEALTH DISTRICT <br /> 1601 s.o=°o""Ave. ,ovWest Oa k,,ree' /:*Sycamore Street zv5West 9th Street <br /> Stockton,California Lodi,c"«fo=/" Manteca,California Tracy,California <br /> ' � <br />