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' � J APPLICATION FOR SANITATION PERMIT (Complete in Duplicate) ,�rication is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. lis application is made in compliance wifh County Ordinance No. 549. JOB ADDRESS AND LOCATION_-_---_---26g_- SOuth Walker Lane • Stockton, Calif. Owner's Name------•__-- - Eden_ e ------- ----------------------- --- -- - Address----------------------------- ------------------------------------------ Phone----4'-5437 ---------�6�-__South---Walker_Lane ----------- ------- - ---------------------------------------------- -------------------------------------------- ontractor's NameD*--_A.__PARRTgg � $p-Ng-� --IA1C--- ---- ---------- . _ ___ - -- -- -- - ------------------------ Phone---_9-9bv7 Installation will serve: Residence EX Apartment House Number of living units: ❑. Commercial [] Trailer Court ❑ Motel ❑ Other ❑ gy Number of bedrooms Number of baths:] Lot size_--___5_-xi'18 _ Water Supply: Publics stem Communif, system r Character of soil to a depth of 3 feet: Sand ❑ Y Gravel E] Sandy Loam ❑ Clay Loam GI M TYPE OF INSTALLATION AND SPECIFICATIONS: ❑ ay ❑ Adobe IX Hardpan ❑ (No septic tank or cesspool permitted if public wer is available within 200 feet.) Tank: nearest G'�Y' se- Septic1 Distance from nearest well____ --___Distance from foundation_�0 No. of compartment _-_ —-------Material- C"COnC—Brick-_. f ---------------Capacity------ ©t3 -G__Size__35-_$r� ][�3 FY Cesspool: Distance from nearest well----------------- -��iqurd depth �2__-_--_ ---------- istance from foundation--------------------Lining material-______-___-__ • Size: Diameter__________________________ Depth : Priv Y Distance from nearest well-------------------------------------------------- ❑ to nearest lot line __________ Distance from nearest buildin ------------------------------------------ Distance ;page Pit: Distance to nearest well 1� 9Q- _Distance from foundation__--99 j_____-_.Distance to nearest lot lin Number of its___'__ j, �$��+ 6 P �---- Lining material_-RAK-SrBT ize: Diameter------33 _ 'L Ti ----------------- -Disposal ' - ----------.Depth---�------0 ----- ----- ----- Field: Distance from nearest well_---54��-_--_.Distance from foundation_--20-____-___Distance to nearest lot lme_____7�- _ Number of lines------ /-------------- ==--,--Length of each line---:- .T �_........ Width of trench--------- Type of filter maerial_tOU&"-to _ ---Depth of filter material--------1.d�_'__--_ ---------- --Remodelingand/or repairing (describe):_____New- fnata3lat .Qn --------------------- -------------- E --- ----------------------------------------------- I hereby certify that I have prepared this:application :and that the work will be done in accordance with San Joa uin ordinances, Slate laws, and rules and' regulations of the San Joaquin Local Health District. - , q County neD• ' {Si 5d}--------- --�•---- r s & 4911-9-s ! ---TI1C� -- k - -------- ' {� Contractor) By:. I (Piot plans, showing (Title)-----88t�,TatOr e of lot, location'o system in relation to wells, buildings, etc., must be filed with this application). I FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY--- _ -------------------- -------------------------- DATE- REVIEWED BY ------------------------------ BUILDING PERMIT ISSUED----•-----_---- ------------- DATE-_------ -'----- f`'L_ . -J -------------------- ------------------------ --------------------------------------- ------------- - = ------------- Alterations and/or recommendations------------------------- - - DATE-----------„------__-- = --------------------------------------- . . , --- ---------------------------- -------------------------------------------------- ---------------- ----------------------------------•------------------------------------------- ---------------------------------- - ------------------------------------------------------------- -- ----- ----------------------------------------- ------- r - PERMIT No. ISSUED------------------------------------- ---(Date) FINAL INSPECTION Date -------------------- SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street B-9-2M 9-50 W-1639 Stockton, California