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� FOR 0 CE USE: <br /> APPLICATION FOR SANITATION PE <br /> Permit No. <br /> + am Date Issu HdL E apy ad <br /> Z11 lica�ion is hereby made to the San Joaquin Local Heal+h Diis�rict for a Permit to construct.and install the work herein described, <br /> 'SpaPPlication is made in compliance with County Ordinance No L 549 <br /> JOB ADDRESS A%LOCATFN._a440CA <br /> Owner's Name- <br /> Installafion will serve: Residence Apartment House E] Commercial [71 Trailer Court El Motel El Other <br /> 'Number of I;ving ur0fs. ........ Number of bedrooms -------- Number of baths -------- Lot size <br /> Water Supply: Public system'*O.Communify system E] Private [I Depth to Water Table ft. <br /> Character of sail'to a depth of 3'feefi- Sand [j Gravel E] So y Loam F] Cla')4Loam E] ("bay Adobe 0 Hardpan C1 <br /> Previous Applicafion Made; (if yes,date-------------------.) No ��Nw Consf ructio'A-e Yes No El FHA/VA: Yes C] No E] <br /> TYPE OF INS4CLATION AND SPECIFICATIONS: <br /> (No sepfic.fank�or cesspool permitted if c sewer is avoila6le within 200 feet.) <br /> Septi T k- Disfan4 from nearesf well..-S_4 01 <br /> If --&/- <br /> No. 'of Size Liquid <br /> -------Distatce from foundation/ <br /> ---------------- <br /> Cesspool: � oistanco from m,o/�esf weiL!--- _--Dbm,mce from fownd�a+'ion <br /> .................... <br /> ' -_-�-'-.._Lin_�_g_=_m_+vr�. _______ <br /> ---" [] S��/ ��me�,_-''-_------D��k_----'_~-.:......---- !-L;quC*omcih' <br /> .....................Privy; D��mef���o �� ��K_ �7 -g'~-� <br /> L =--__---__- m �wmm6o��g- <br /> � <br /> !' <br /> Distance to nearest lot -''-''---'---'--' <br /> a_._� <br /> ` - � ----'------� { | <br /> Remodeling and/or rep iri"j�doscrib°j-------------- -__--_~ ' <br /> '�/�--'----_-.--.-___�»,__�_____. /�_�___.._____...�_' -��--'--------'------------'--'-'' [ <br /> ..................-'-'---'_--_--' ' - � ---'-',-----_-_'--__--.-'_-----' <br /> \. <br /> I hereby certify that I hayG prepared this application and that the v;ork will be done in accordance with San Joaquin County <br /> ordinance fate ws,*arid ry4es an regularions ofjhe San Joaquin Local Health District. <br /> r� <br /> � / <br /> (Plot plan. showing size of lot, location of sysf in relation fo W6115, buildings, efc., can 6e <br /> ?1z, <br /> ' . &rv.,`se side). <br /> . <br /> FOR DEPARTMEN. ~~^ ~.,^^ � � <br /> . <br /> `°��"'"+" ����'/�� »/ .�[� / <br /> BUILDING PERMIT 15SUED �������--------'---- -'-^'--T----^-'- <br /> ' -------� <br /> Alterations and/or-roqommendafions. <br />� » -''--- � _- ' --'-'- <br />� --------'----__---�----_---_-- -_-__-_-- . - - ___.'---- <br />� ��-'_----_--_----'_ -------_'--'-_-- � <br />| - .______._�______------'-�----�-----------'----'---'--'r'----------''--'_-_--- . <br /> ��'����� ����� <br />' _ --'-_'-_---`.------_------_'--. . <br /> FINAL INSPECTION 8Y-_-. ^� bw+u_-'~. - -...... <br /> ---------------------- <br /> S <br /> N LOCAL HEALTH DISTRICT <br /> /601aHaselten Ave. 300 e5t Oak Street 124 Sycamore Street 205 West 9th Street <br /> Stockton,California L*dl.california M"°°= �o��� <br /> - Tracy,California <br /> "°^=. <br /> - y <br /> - ' <br />