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V.2.7`.74,-Kt-re <br /> Date // Final Inspection by: <br />SAN JOAQUIN LOCAL HEALTH DISTRICT <br />N ••'.. • • \ r <br />APPLICATION ACCEPTED BY <br />UILDING PERMIT ISSUED <br />.DDITIONAL COMMENTS .(1 <br />- FOR DEPARTMENT USE7ONLY c). DATE <br />DATE 42.0/W 7/ aee•-•e /4v6---/ zrz: V I' fr".1 <br />Vs- <br />FOR -OFFICE USE <br />Permit No. 7 /- 3 <br />1 Date issued //- 7 3-1,/ This Permit Expires 1 Year From Date issued <br />Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein <br />described. This application is made In compliance with County Ordinance No. 549 and existing Rules and Regulations: <br /> .0010 CENSUS TRACT <br />Residence 1C Apartment House 0 Commercial 0Trailer Court 0 <br />Moter0 Other <br />(Number of living units. Number .Of.,bedrooms I"....... Garbage Grinder Lot Size <br />Water Supply: Public System and name PrivateX <br />Character of soil to a depth of 3 feet: Sand '0 Silt 0 Clay D Peat 0 Sandy Loam 0 Clay Loam 0 <br />Hardpan 0 Adobe \V Fill Material If yes, type - <br />(Plot (Plot plan, showing size of lot, location of sj/stern in relation "to wells, buildings, etc. must be placed on reverse side.) <br />(No septic tank or seepage-pit-permitted 'If public sewer is available within 200 feet) .5.• ci--//—. r <br />1] SEPTIC TANK IA Size • Liquid Depth CI. r • - 4 . ' 1"-* *-- - 2...,_.,.. <br /> Moterial.e..1).: No. Compartments <br /> $ee r-r-- Foundation...A _._ PrOp. Lirie - <br />Iy..... <br />,''..--. • <br /> Length of each line 9a_--- Total Length ?69 ..... <br />'D- B-a-x— - —TiTPe-Filfe-i-Material "--6-014-- -Depth Filter Material ie ' ' , <br />DistCince to nearest: Well 0 1 -.Fo—undation-1—ter 'V— <br /> <br />Number lik <br />Rock -Size:4 16.-' I. <br />Distance to nearest: Well . tab -fr- i Foundation ..ZO "1— Prop. Line <br />1 <br />REPAIR/ADDITION (Prey. Sanitation Permit # , Date ) <br />. 4. <br />Septic Tank (Specify Requirements) <br />Disposal Field (Specify Requirements) <br />(Draw existing and required addition on reverse side) <br />I hereby cerifylthat:I;have prepared this application and that the work will be clone in accordance with San Joaquin <br />County Ordreances, State,Laws, and Rules and Regulations of the San Joaquin Local Health District. Home owner or licen- <br />sed agents signature certifies the following: .••• <br />"1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In such manner \ .t <br />‘C. as to become subject to Workman's Compensation laws of California." ' <br />'/ <br />Signed <br />By :Title <br /> Owner ‘..1 <br />(If other owner) <br />APPLICATION FOR SANITATION PERMIT <br />' (Complete in Triplicate) <br />JOB ADDRESS/LOCATION <br />Owner's Name <br />Address <br />Contractor's Name <br />Installation will serve: <br /> Ce-a-c--4--- A Phone <br /> •P—n 6 - So, /6--d City ‘..Yr-6--6Q-kti1 <br />ra/b-/-egeth 4 L icense # /00-.C7/ Phone Y64 -417‘0 <br />a--e-r..a-cp <br />NEW INSTALLATION: <br />PACKAGE TREATMENT .Cfl" <br />SEEPAGE PIT "K] Depth 2- Diameter. 3.3-'` <br />LEACHING LINE No. of Lines <br />Capacity /2-40 Type <br />Distance to nearest: Well <br />Property Line <br />Rock Filled Yes J No' 0 <br />-1- <br />Water Table Depth, <br />->