Laserfiche WebLink
r4 FOR SANITATION ec^.ti11T ' <br /> a <br /> Ir61r,plerr in TAplicat+l <br /> I <br /> Expires 1 Year from Datr I,,v••t i <br /> ►Iealth D,strf(t f-)r n n., • If ., <br /> dcstr "t.4 .1t Covnty O•drnanc,. <br /> 10P APCr'F"-r <br /> l!f�•rsc C f,, j r <br /> Contrart,r s No—e <br /> Installation will serve P' Ap.lrtr-•rnt House L-1Ccmmerc.al 'ra:lcr Court <br /> ,.:.I Either <br /> Number of living units: Nt^ 1'"' '! ^•frcoms ',a..Garbage Grinder lot Size 1 <br /> Water Supply: Public System and Priva,r•C <br /> Character of soil to a depth of 3 frrt Silt f] Clay ❑ Peat i Sandy Loom [] Cloy loom f—i <br /> Adobe 10 Fill Material If yes,type <br /> Cv <br /> IP ct olon, sticv: nT s;rr of lot, Ir cf ,yr.t+m in relation to wells, buildings, etc, must he rlaced on raverse side.) <br /> NEW INSTALLATION: tNo sept —cane pit permitted if public sewer is available within 200 feet,) <br /> PACKAGE TREATMENT [ ] SEPTIC T%Nt: ;j Size •s... ' liquid Depth <br /> .Y <br /> Capacity Type _. Material r No. Cempr.rirrrnts ;i;.......... <br /> Distance to ".. ,.r:r: `:cell .!. ..' <br /> � �.... .Fo nidation frop. line . <br /> LE^Zy1NG LINE l ' No. of Lirr-, length of each line Total Lrngth <br /> C' Box T%r- r Iter Material Depth Filter Material <br /> Distance t:) rc r;' \:1e11 Foundation Property line <br /> SEEPAGE PIT ( I Depth Diameter Numhe- Rock Filled Yes ❑ No Q <br /> Water Tohle Per•'h .. ...Rock Size <br /> Distant e n , <br /> .....Foundation Prop. Line .. <br /> 1 <br /> REPAIR ADDITION(Prev. Sanitation Prr-;1 Date <br /> Septic Tank (Specify Poquirenu•R''•) <br /> Disposal Field ISpe_ufy Pequirrmr•rt;tl �• �••' <br /> (r),;:; and and required addition cn reverse side) <br /> iii. <br /> ippl <br /> cation and <br /> %of the work will be done In accordance <br /> h Son <br /> I hereby c liniances tState LawrsI have rand fPtu�lr,rfandRegulation;tt <br /> of the San Joaqvin Local Health D strict Homeowner orliken- <br /> County Orc , <br /> sed agents signature certifies the following: arson in such manner <br /> "I certify that in the performance of the work for which this permit is issued. I shall not employ any p <br /> as to become subject to Workman's Compensation laws of California." <br /> Owner <br /> Title <br /> By {{' 'h• f th c: <br /> rOR DEPARTMENT USE ONLY <br /> GATE <br /> APPLICATION ACCEPTE. UH?E <br /> BUILDING PERMIT ISSUFr. <br /> ADDITIONAL Cor"v,'E'JTS <br /> Final Insre':t )n b . <br /> `.')rte 1-O. rAl. 1iEALTH Cr;,TRICT <br />