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: <br />FINAL 'INSPECTION Date <br />AN AQUIN LOCAL HEALTH DISTRICT <br />e....., <br />42-A c-- ••••• , <br /> Phone . li , <br />Address i1 Ø -'---rAx-c-"/ w .. I,ea s sz4,1. .. <br />., Contractor's Name ill Phone <br />Installation will serve: Residlince car-Apartment House 0 Commercial 0 Trailer Court 0 Motel 0 Other 0 <br />41 i Number of living units: ..E.... Number of bedrooms 1 Number of baths _ —7— Lot size <br />1111 Water Supply: Public systeno 0 Community system Ei) Private E'Depth to Water Table .0/.... ft. <br />Character of soil to a depth 'of 3 feet: Sand 0 Gravel 0 Sandy Loam 0 Clay Loam 0 Clay 0 Adobe Hardpan 0 <br />-Previous.,Application,tvlade_: Lii.f,yes, date. _ , ) No Er---eNew Construction: Yes 0....No 0 FE-.IA/YA: Yes 0 No 0 . <br />TYPE OF INSTALLATION AND SPECIFICATIONS-: h . - - 71 "or,ff---ilgirr'rg"r017-STriCi , (No septic tank or cesspool permitted if .public sewer is available within 200 feet.) <br />::FOR OFFICE USE: 00,4 <br /> 4 <br />• <br />APPLICATION FOR SANITATION PERMIT Permit No. <br />(Complete Duplicate) Data Issued 6-7-3-4e This Permit Expires 1 Year From Date Issued ' z.01 - Is-to-07 Application is hereby made to the San Joaquin Local Health District for a permit to constrUcf and install the work herein described. <br />This application is made in Compliance with,County Ordinance No. 544. <br />JOB ADDRESS AN?) LOCA'T /gig& eV/ 64404/itie <br />d V-q 5 w • ;12- "J • •77 <br />Owner's Name.. A. 4 <br />Septic)ank: A te Distance om nearest well I ' .fr Distance from faundation Material <br />txtO jr" No. of Compartments <br />Dis71 Field: <br />f <br />Distance from nearest well...573 Distance from foundation Distance to nearest 120ne 5 <br />Number :of linesAM '1 • Length of each line ,re Width of trench...4. <br />Type of filter material Roc-- Depth of filter material ./ Total length MO <br />Seepage Pit: Distance;lto nearest well Distance from foundation Distance to nearest lot line. <br /> <br />1 . <br />Number'of pits. Lining material Size: Diameter Depth <br />Cesspool: Distand;f well............. romoun rom nearest .....Distance f foundation • I Lining material <br />_ , Size: Diameter -, <br /> <br />i ,___ Depth Liquid Capacity gals. r....,--- - - -... ----....--= Privy: Distance from nearest well <br />Size Liquid depth Capacity <br />Distance from nearest building <br />1 <br />Distance to nearest lot line <br />Remodeling and/or repairing] {describe <br /> <br />' --, • <br />Molvti.O.P To &L..tEd1 , <br /> <br />I <br />! <br />I hereby certify that•I have prepared this application and that the work will be clone in accordance with San Joaquin County <br />, ,..46•••••••••.... -,- -W. .............i. .1•••.-4101- . -......nr---4 ...—....-4•47.4r•-` • -.-........,.........." <br />.i <br />ordinances, State laws, and 'Pules and regulations of the San Joaquin Local Health District. <br />ill .-. <br />(Signel........--i...... (Owner and/or Contractor) I. <br /> ---- 4.1...., ......... .--,...1.1•:-. .... <br />(Plot plan, showing size of lot, location of 'system in relation to wel srli'uildings, etc., can be placed on reverse side). ilii . <br />• <br />2/1 , APPLICATION ACCEPTED iti B DATE <br />REVIEWED BY DATE <br /> <br />BUILDING PERMIT ISSUE ..< DATE <br />Alterations and/or recommeridations: <br />1601 E.,linzeiten Ave. <br />, Stockton, California <br />300 West Oak Street <br />Leal, California <br /> <br />124 Sycamore Street 205 West 9th Street <br /> <br />vMcmtecii: California Tracy, California <br />- <br />. • <br />CD. <br />..r <br />. • ,4;' <br />: • ' • <br />• <br /> III FOR DEPARTMENT USE ONLY