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PARCEL SIZE <br />Crraw Linde,/ t".4 ycij4' <br />APN <br />NUMBER <br />PHONE(29) SY1f-d79J/ <br />CITY/STATE/ZIP L 9 5 <br /> PHONE <br /> CITY/STATE/ZIP <br />EXPIRATION DATE <br />42.01 <br />4;24/12 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />I I> <br />CeN— 0 <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />,; <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 - (209)468-3420 <br />OWNER NAME a 4J f s,d, <br />OWNER ADDRESS p flex betel <br />CONTRACTOR <br />CONTRACTOR ADDRESS <br />LICENSE C-42 C-36 OTHER SSIUfl(IV LLI' ft GEOGRAPHICAL INFORMATION: Coordinates X <br />BUILDING PERMIT ft IT- 16 001,Yr LAND USE APPLICATION # <br />ENGINEER DESIGNED/ALTERNATIVE <br />DESTRUCTION <br />WATER TABLE DEPTH: <br />PERC TEST It <br />TYPE OF WORK: NEW INSTALLATION <br />REPLACEMENT <br />REPAIR/ADDITION <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />INSTALLATION WILL SERVE: )(RESIDENCE COMMERCIAL <br /> <br />W SEPTIC TANK TypE/MFG I' V-- CAPACITY gal It OF COMPARTMENTS 1****** <br />GREASE TRAP TYPE/MFG CAPACITY gal 0 OF COMPARTMENTS <br />DISTANCE TO NEAREST: WELL ( 001 #. ft FOUNDATION 4-f- ft PROPERTY LINE G I-14' ft <br />LIFT STATION SIZE TYPE OF PUMP 0 PKG TX PLANT 0 SAND OIL SEPARATOR (ENCLOSED SYSTEM) <br />PE <br />Code <br />SC <br />INFO <br />Received Cbeckii/ Amount <br />Remitted Date <br />Permit/ <br />Service Request rt <br />Invoice SI Permit ION <br />I-7( ( 11_..., <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: <br />OTHER <br />NUMBER OF EMPLOYEES: <br />‘: <br />0. JOB ADDRESS _j,77e _A•sc.,2 <br />CROSS STREET titt MA) <br />NON-REFUNDABLE TWIT CALL (209)953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED