Laserfiche WebLink
sexWIN COUNTY PUBLIC RRALTs vires <br /> BZtIiIL04M nxvls <br /> 445 x SAN aosq�rx, PHM (209)4e8-3420 <br /> P 0 BOX 2009, s'1�`, CA 95201 <br /> (Complets in Tripligate) <br /> p1�st r►t#oa ia.Mse"aet0r aade,to drat J9294Mu CtAWW for a gait to poaitr++at and/or install the va t basein deslribed. 'Acis <br /> ar t# a11bw >ts Iltit tt !v1t#4as4aagatis Cwa6t7,r Ordinanoo Bo. SW sad 1al6E and the bAles sod 116platta w of Ban <br /> 10"N" comw ifidlie Saa1f0 derriaa. <br /> Jab Addreaa II ►Z City 5 hot SSB./AoreaBe <br /> 5a , t�tusc <br /> Ownses um" A.do.;R'fib 1. iss�i �'� 39Th_ fad' man. <br /> Contractor ma res: rjAhk_h&. Ekes t MMUO <br /> OF MP: NEW WELL C3 WELL REPLACEMENT n DESTRUCTION Out of oe WE <br /> PUMP OWALLATION 0 SYSTEM ""NO OTHEII)K ItoaitorinE "' K <br /> DISTAIkM TO NEAREST: SEPTIC TANKSEWER LWES t5_06DISPOSAL FLD. PROP. LINE <br /> FOUNDATION AGMCULTURE WELL OTHER WELL. PITS/SUMM <br /> ffifrodow UK TYPE OF WELL PIMI; *AtREA NST <br /> CORUCTIOPFSPEC#I%CAT1ON5 aEu►:4%v�. <br /> I7 fnafa.arw ., O Opwa MINI wa i>Iis.:at 1nN11 tea ewtiora tis of <br /> In o anostiopr wte AQrawi Pask 0 Tracy Tvpe of CO&V . <br /> I'1 Pubh In onw n Defer DOM of Gwit ! Type et Gtsat� <br /> I l Irriyell0n.�[ Olaf Appr".,Dpplh_ Klemm Surface S"baaasd by.-. <br /> #.pair Wank Darr v ivo aN Parnp � ,...�.._ H.P. y stria♦Work Dwo <br /> Wal Daaboadw 0 Wall Dismow SOW&list r a2 A both . <br /> Depth nuw ItaMrisi i Opp" <br /> TYPE UPTIC : NEW SMALLATION I I REPAM/ADDITION 1 i DESTRU 1 1 (No"pot"Gown panMlleiE rKiatsr 1K`" <br /> oven"within 200 looLl <br /> kr alion wiN eerw nowd.nc.— Conn wmw....-. O*w <br /> .Nwabrr d"wdw hurrtbsr pf b*drooms",�� <br /> t2rerecm of sell is a depth of 2 Nast: W*iw tatN#depth <br /> SEPTIC TANK O Tvp./Mfo Capwky <br /> PKQ.TREATMIlNT OLT.D <br /> DiNano.to 41.u.et: W.M�..�. _ Fonardatior► .....^ :W:lm <br /> 9 02 <br /> LEACH" LINE 0 fio.i Length of suras Total le <br /> FILTER.SED D Distat".aatsmet Wed -,, Foundation--- ----F' <br /> wt II Depth SiF+ Nunbsr <br /> suws LI Diatom to rnear sI tpi1K_ Faauidation Pn*"Lkns <br /> I hMeby W10i Ag 1 hiw p WNW Mb sp/Ncadtan attd.#hot the k.r A be dor*in awordanar with Barr Jw. Wn county oodwshess.stag Ism,ohd <br /> n**Beal OWMW e of un San. oagntin COe♦raiar :. .. <br /> Hsrtts owrnar arr ticsrnMd.ysrtt's aeetlRa fosowinp: '.L"WV then In OO p "Otonnove of the work for which this permit s iesnaea%4 Mas11 a1 m <br /> araaplelr ar+,►_ppraat►in,uedt aewutNr ads=fat ttub�ct to,yrt>rknMr�a Ypr d flomie.".GorrtCa�tor't nirinp ax et+I>•egrtbattkito <br /> ooetllries the job,Wnq:"t cwWw that in the perlonwwws of the work lar which this pattrth is iaiiwd,l WWi employ wow subject to wwkrnen's canpsrm- <br /> tion laws of C111160MtIe." <br /> The Coenpleat drawrgY+pn r alt#itl ; <br /> Iaorn.a T iNst 1 Data: Q�✓ <br /> FOR DEPARTMENT USE ONLY <br /> Act •d by Dow . . Anes <br /> Pit or d"ra If w,—ion dy c i v FkW.l^,ttpottio^by Dna <br /> Ad.Itld,a L'ornrrr.rrts: �y <br /> Applioust - Bourn all cold" to: dan Jaacpnis Copaty lnb21c health set'viaes <br /> Basiroommtal Bealtb Peratt/Urvines _G <br /> 449 Sea Jos"la, P 0 Boar 9009, -Nltka, CA 96901 of►� <br /> - - AMOUNT M* - A1MIIW alEktMD CK4 ARCIRM tY DATE P90AWN0. <br /> ' <br /> IN Imam.$/Ns , <br />