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FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT Permit <br /> Application is hereby made to the San Joaquin Local Health-District for a permit to construct and install the work herein dasc,ribed. <br /> This applicafi6n is made 'in compliance with County Ordinance No. S49. <br /> -----wz.. ;k�............................. <br /> Installation will serve: Residence ��Apartrnenf House Commercial Trailen Coud"[D.,,V.,ofel El Other 0 <br /> Number of living I units- I Number of, edrdMPs!_5___ Number of baths ..�'.7NOt site <br /> Water Supply: Public 1�s * ------- 11"[3 Private P--D,pth to Wafer'tlbl, 61. ft. <br /> Character of soil to a dbpth of 3 feet.41111and 0' Gravel 0 Sandy Loam[] Clay L�am 0*Cliv 0 Adobe Q�Hardp`an 0 <br /> Previous Applicafion 4a 0 <br /> -CA Itl F! :0MICATIONS: <br /> TYPE N1* _1i <br /> Li <br /> I permitted-4f-pu6lic-seweris-availa6ie-wi,hin 200 feet. <br /> Nj. of comparti-rilts........ ..-Size-------------­------ .........Liquid ciap:t�..........................Capacity...... ----------- <br /> SeRepe Pit -14nce to neares well Distance from foundafion..../..-.�.....Distance to nearest lot ime... <br /> isfance from nearest well.........-------Distance from ounciation.........__.......Lining maferial.... <br /> 4rN., er o-' pits...I................Lining maferial.R—,Q 5 <br /> it <br /> it <br /> Remodel in cja n Llp�rep4aiir.ng (describ ------ ..��4. ---- <br /> I hereby certify that I have prepared this application and +ktothe work will be done in accordance with San Joaquin County <br /> ordinances, Sfate�jaws, and rules and regulations of the San Joaquin L+1 Health District. <br /> -&*dj-Qr.Contractor) <br /> (Plot plan, showing size of lot, location of system in relation to Is, uildings. eff, 6n be placed on reverse side). <br /> FOP, DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY*!5��_77V69-AW,_../------ ......... DATE...--------- .......... <br /> BUILDING PERMIT ISSUED —�—' DATE— Ck.........'--''—'----__--.— <br /> --_'----'������������—���i���..—.—_—_—_-------'----'--------------------------------------- ----'—'--'--'— ' <br /> .......................................................................................................................................................................................' .................................. � <br /> FINAL INSPECTION BY:........... ..... ....$.. ------ ........... Date........... -- -------_—'--� <br /> SANJOAQUNNLOCALHEALTHDISTRIC7 <br /> 1601eHaxelion Ave, 300 West Oak Street `z*Sycamore Street 205 West 9th Street <br /> Stockton,maa"rnfa Lodi,California Manteca,California Tracy,California <br /> "=co. <br />