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FOR OFFICE USE: <br />, APPLICATION FOR SANITATION PERMIT <br />This Permit Expires 1 Year From Date Issued <br />(Complete•in Duplicate) <br /> Permit No. <br />Date Issued -e <br />Application is hereby made to the San Joaquin Local Health District for a permit to construct and ins-hall the work herein described. <br />This, application,is <br />g: <br />made n compliance with County Ordinance No.'549. <br />Pr. <br />i <br />JOB ADDRESS AND LOCATION /AO //11/17;ov lava 41K4cle- • A64-44 f " g-- z°O-7.2\ <br />Owner's N a me. SO ii.r* 4744/jitatfautAt Le/Fie/trod —2)Lfrieic r phon.ats-4/ci <br />Address. ..eisa.Q.1414/01 •577 0. ,ftteinler.44). Cd9i t-ro <br />Contractor's Name. 7.--eK j":1430' C 7/e.teihtt- ph0ne:0323— <br />Installation will serve: Residence 0 Apartment House El Commercial 0 Trailer Court 0 Motel 0 Other R..— • <br />Number of living units: ..... Number of bedrooms Number of baths Lot size <br />Water Supply: Public system 0 Community system 0 Private eDepth to Water Table/.. ft <br />Character of soil to a depth of 3 feet. Sand P "Gravel 0 Sandy Loam 0 Clay Loam 0 Clay 0 Adobe 0 Hardpan 0 <br />Previous Application Made: (If yes, date I. No," New Construction: Yes tel\lo 0 FHA/VA: Yes 0 No <br />I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County <br />ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. <br />el Ari <br />'• . <br />FOR D PKRTMENT USE ONLY <br />APPLICATION ACCEPTED BY —771R.C) DATE 6 <br />REVIEWED BY DATE <br />BUILDING PERMIT ISSUED . DATE <br />Alterations and/or recommendations: <br /> <br />Date <br />1601 E.14asehan Ave. <br />Stockton. California <br />E.H. 9 2M 1-67 Vanguard Press <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />300 West OA Street 124 Sycamore Street <br />Lodi. California Manteca, California <br />.205 West 9th Street <br />Tracy, Catifornia <br />(No septic tank orcesspool permitted if public sewer is available within 200 feet.) <br />Septic" T nk: Distance frolm 'nearest well.-ce / Distance from fou Jan tion_j0 -.......Matlyial <br />No. of compartments ...â. Size.# X/40 X., Liquid dtpth iti. Capacity1.02_Ple?..... CI <br />,•%./ <br />Disposal ield: Distance from nearest well 5.0 , Distance from foundation../__..,40----t—Distance to nearest lot line ..., eir <br />Number of lines -.2- Length of each line qj ...-' - •-WicIt'h of trench.-.7 IP e 1 <br />Type of filter material Depth of filter material.../r "2-- -Total -length 25.0 <br />Distance -to nearest well Distance from foundation ---"- • . Distance to nearest lot line <br />Number of pits Lining material Size: Diem& 'et:- - Depth Seepage Pit: <br />El <br />Cesspool: Distance from nearest well Distance from foundation Lining material <br />El Size: Diameter. Depth Liquid Capacity gals <br />Privy: Distance from nearest well <br />El Distance to nearest lot line.... ...... _ <br />Remodeling and/or repairing (describe]: 4101.4F1.4., 42.F:f2, e A- <br />Distance from nearest building <br />, (Signed) By: <br />(Plot plan, showing size of lot, loca <br />_ <br />of system in relation to wellsrgUildings, etc., can be placed on reverse side). <br />nd/orConfractor