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^ <br /> APPLICATION FOR SANITATION PERMIT permit No. <br /> inOunkuaf� � <br /> / / <br /> ' Do#, Issued ' �~ <br /> _ <br /> made to the San � �fhx c+� u permit to construct and installinstallthe work herein 6e, �6n6 <br /> � Th� op��6� is made � �� �� C�n� O�| N ~ ' <br /> JOB ADDRESS <br />' �7 <br />` ' - <br /> Add <br /> 119-0 <br /> Contractor's Nome- <br /> '''-_---''-_-_-'---'-_ <br /> -_..-. -_------'----.-_-__-. <br /> ���� w0 serve: Aparfment <br /> � <br /> House � �m�� � �� �� �� �,� � Other <br /> Number nfliving units: 4' Nu'nber of bedrooms -A Number of baths A, Lot ,i ' <br /> _ Wafer Supply: Public system [R-<0mmunif y sysfem'E] private 0 Depth to Water Table Ye ff. <br /> ' Character of soil to e depth of 3 fe;f: Sand Ej Gravel E] Sandy Loam 0 Clay Loam Clay <br /> � C|uyE] Adobe -- r�. <br /> n0 <br /> Previous Application Made: Yes [] No 2~~~Now Construction: You [] No k ^ <br /> / <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: - <br /> (No oop+(u tank orn�s4,wn| permitted if public sewer isavailable within 200 feet.) ~ <br /> S Distance -om nearest well------------------Distance from foun6ufion----.---Material ..^----_-.. <br />| ' � ' '�h---------------------------Capacity' - <br /> Disposal Field: Dis�ance from nearest well-----------_ - -,Distance from foundat'ion--------------------Distance to nearest lot line----------------- <br /> Number of pits-------I------------Lining material-- Size-- Diameter----- Depth--- <br /> B Z17 c1cl-V <br /> Distance 4 <br /> ._ _ <br /> Remodeling and/of repairing (describe):----------- <br /> . . � ---_�-'__--_ <br /> ---`-''__-__--'�----'__---__.'-_--_-__------_-__--__-_--'-_--.' _-'--.-- <br /> . " � ~ <br />� --''-'--.-'__.''--_'--''----__-_-___.-_-.-_.____..._-`---=_-..__---_.___--'____._-.--. <br />. '-'-,_'''_-''__-.'----''-�_.'--_-'-_'-__.___'---'''--'-_.''-�.''---'-'�-.--_-_---'�'-'-'-- <br /> � <br /> hereby ' . � <br /> ordinances, State laws, and rules and regulations of the San Joaquin Local Health District.,-,, <br /> � <br /> -'--' ----'---''~-'''----''---'-'---'''-------''-'�"'=)-- �x=��------_-_.- <br /> (Plot plan^ showing size of-lot, locafi�n of system in relation towells, buildings, efc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> --------------------------- <br /> ---------- '-''-_'''------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------- . <br /> ----------------- ----------------------------------------------''''_--'-'-'-'''_- ---------------------- ----------------------------------------------------------------------------------------- <br /> '-_------ ------------------------------'�� --''_-''_''--'-''--�''-'''_''-''''-'--''--'-'-''-''---''---- ------------------ <br /> � ^� <br /> FINAL INSPECTION 8Y - Date � � <br /> _.-'---.`'-''-'''-''-- ------------ <br /> SAN <br /> '_-' <br /> � SAN J[AQUU4 LOCAL HEALTH DISTRICT <br /> /mo South American Street 300 West Oak Street oz Sycamore Street m* m"r+h "C' Street <br /> Stockton, California Lodi, California w°"w" . c*lifomni" Trax» California <br /> sx-9-2 w <br />