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tOR OFFICE USE: <br /> - <br /> / -'IrJK . . . . . Z <br /> APPLICATION FOR SANITATION PERMR Permit No. 06."— <br /> ICo*Ptiti .n &fel Dela hr ed /✓'��� <br /> This Permit Eaptrot m <br /> I Yew Finan Date Isoil <br /> Aptt"hon is hereby nada to the Sem .ioaqu;n Local Health Dxtrict for a pormi4 to construct a,d .,ttail the.hr. Semi, described. <br /> T•.'t apylicet.on s Made in compliance w�fn County Ordinance No, $49. <br /> JOB <br /> DRESS AND LC54710N.Z2,f .0 . . 6ve avox —pal <br /> Name. .-. � /-��. � <br /> phone. <br /> Adej,wts, 000204r.. <br /> .�d^batter's Name. BrQ.-'�L <br /> InsNlleKoo A IBM: Rosidance [j Apartment House t] Conanletciel &-Trailer Cautrt U" Morel Other <br /> Numkw Of I-Vin.' ..lift: / Nvmber o' bedrooms .I-. Number of baths Imo. Lot rsa 00 I Dai v0'4-- <br /> \ <br /> Water Supply: F,bl�t system tw <br /> U Comm ,ity system ,'r] Prirafe�epfh to Water table" It <br /> Charactef el w.l to a depth of 7 feet- So"❑ Gravel E3 Sandy Loam Clay Loam ❑ Clay 0 Adobe❑ Hardpan❑ % ' <br /> Previcws Application Made: W yet.tlote 1 No 19-o'Now Canstructlon: Yet 94�74o [] FHA.�VA. Yes No�-_*_1% <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> INo septic tank OF cntP001 PwrwiNed if Public swan is ants"le s+IIW-200%0.1 <br /> Sapec Tani- star'* 'fern nearvo Distance from fow,dat .'rolf ' Mer lar'.0A ,6i, <br /> No, of compeOrnenfs. ix�i�..ti ..yy`y�.l.qu.d a Pfh. Cawury./?-d <br /> D,sFosei F,ld: Distance fwmn Poorest .v i d�G_ Dwance frur fcvndetyl .f0 <br /> -� ; �� Distance to neetett 6�line. <br /> (rj� i`iumber of uMs ..a length of each Width of trrsch lP..r., . <br /> Type of Ftlter mater;el/4l Depth of filar mater'e �ov Tata hength ?. <br /> JarGege P:t: 0 Dance to nearesf we, pittance 4� foundation .. ....._.. Distance to noarasr for Lne,. <br /> U Plumber of P.tt _. Lin4ng Pstferul S+ts' Dwreter. .. Depfl. <br /> Gstpool: Zwonce from, nearest wand Distend"from r94ndetoo, .. Lining malerie; .. .. ., <br /> ` � <br /> 11 S;10; Diameter . . .. .. . Depth. _ _ - liquid Cepxiry . .. . <br /> v Privy: Distort* from noeress *00 ...... ._._... D+trance Pram Mea-e1" bwldirg. ...... <br /> I] D:st&"A to nearest Sot kne <br /> Remoeekrg end/or repeirAg (doscroal: a /!i_ _+�J/�'./.�Iu7i <br /> _.... ._.. .._._._. ..___......._ F <br /> ..._.._ _ ........ <br /> stns G✓J9 /'r" � <br /> I hereby carivfy that 1 have pepano this oppr"+60 and that the work will be d"41 Kcotdnace wA San Joaquin Canty 7. <br /> ordmaneas. State laws. and ruless O&d reppulaf.ens of the San Joaquin Lasal Hearth Dished. <br /> (S.grted) ��,4.. ContrKral <br /> Illy: . .._.......... ..... _.. __.. .__. .. (Titled �f✓/ 4_ <br /> (Plat Pon. dsewin0 tie of 10.kwobo of relat on to .ab. buad!no. etc.. can be placed an rarer" sided. <br /> FOR DEPARTMENT USE ONLY <br /> APPLICADON ACCEPTED BYAJ.R, � DATL <br /> REVIEWED BY DATE <br /> BUILDiWG PERMIT ISSUED .__ DATE <br /> Aboretiont and/or racewurtandetiMrt: _ <br /> F'NAL rNSPEC7101": BY ^ate -7 - <br /> SAN JOA IN LOCAL HEALTH WSTRICT <br /> 14014 rteralr.a.a. "a Mw.Oat 1 r 124 tr+r+w 16 v }OS W*O M W~ e� <br /> Yrrrb.,cwte� LM+ C.AA N Mf..pta.caol� IMF.[auhnfa £' <br /> t.w s hr.y vw.eroa r... <br />