Laserfiche WebLink
SCANNED <br /> FOR CFFICE USE: APPLICATION FOR SANITATION PERMIT Permit <br /> - ;Complete in Triplicate) <br /> . ....... . .. .. ... P Date <br /> This Permit Ex iris 1 Year From Dute Issua ti <br /> _ s <br /> Application is hereby made to the San Joaquin Local Health District fora permit to construct and install the work herein <br /> described. This app•'-cation is madtin rompl,ance with CounSy Ordincnce No. 549 and existing Rules onJ Regulations: <br /> //l'D rFi n! W Ft C'O J R T—•`tea .!,] -S.�.... .�•5.�l�Tt..� CENSUS TRACT .. <br /> JOB ADDRESS/LOCATION <br /> C',C " P„or a .....I.................I......... . <br /> R Owner's Nome ° / NN -. <br /> �� /VJ19.1. .....5 ._ .. ......._-.. �.1. �.�.Cites - ... .......... .... .. ............ <br /> �f <br /> Address� .� . . ,, . Phone <br /> 9 <br /> 1 �Gl J L cense .!f <br /> Contractor's Name �.. z. .. �C.�. .. <br /> Installation will serve: Residence R<partment House❑ Commercial ❑Trailer Court .h E <br /> Motel ❑Other g <br /> Number of living unit': . -j.... Number of bedrooms ..3-.....Garbage Grinder Lot S=ze - .�.�. -- -"•Private <br /> . a rva L�] <br /> Wot>r Supply: Public--ystim and nam^ . ..... ..... .. ...... .. ........ ................... <br /> ............... .................................Pr' to <br /> Clay Loam <br /> Sand Loam E] [] <br /> Chorocter of soil to a depth of 3 feet: Sand �i•t i.] Clay E] peat❑ y <br /> � Hardper [} Aaobe ❑ Fill Materia! . J.. If yes,type--•............. ..... .. �.. ,.. <br /> Plat plan, shrwing size of Ict, location of system in.relat'son to wells, buildings, etc. must be (+',aced on reverse side.[ # <br /> NEW INSTALLATION: ; <br />