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CALL (209) 953-7697 FOR INSPECTIONS EXPIRES 1 YEAR FROM DATE ISSUED NON-REFUNDABLE PERMIT <br />JOB ADDRESS 5 CITYIZIP <br />0 PERC TEST # BUILDING PERMIT # 1 q 0 3S (-1 LAND USE APPLICATION # <br />7 REPAIR/ADDITION <br />OUT-OF-SERVICE SEPTIC SYSTEM <br />ENGINEER DESIGNED /ALTERNATIVE <br />DESTRUCTION <br />TYPE OF WORK: NEW INSTALLATION <br />0 REPLACEMENT <br />CAPACITY 2 z,„..1) gal # OF COMPARTMENTS 2_ <br />CAPACITY gal # OF COMPARTMENTS <br />42-01 <br />404118 <br />ONSITE WASTEWATER TRTMNT SYSTEM PERMIT <br />ONSITE WASTEWATER TREATMENT SYSTEM PERMIT <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT 1868 E. HAZELTON AVENUE - STOCKTON CA 95205 -(209) 468-3420 <br />- <br />CROSS STREET C/y)0e.r-/y/15/41" APN j95.0q 033 PARCEL SIZE 6 <br />OWNER NAME <br />/-4f1/;(42/10 /2.1*C /1(1 /4.52:44i' PHONE__ <br />OWNER ADDRESS P.O gay. 6 s-ciLb.. CITY/STATE/Zip inderi q ce.A 3 <br />CONTRACTOR 1/9/‘'..46 ,rd C /3/14.4/0 /l4 %r.L<V, PHONE 931 /0 6/ <br />CITY/STATE/ZiP 4 i..1Z,L.;/41-14P/2"/ 1;/1 <br />WATER TABLE DEPTH: 'DO - I /O ft GEOGRAPHICAL INFOFUAATION: Coordinates X <br />INSTALLATION WILL SERVE: 0 RESIDENCE te,COMMERCIAL <br />NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: Lei <br />4....SEPTIC TANK TYPE/MFG <br />GREASE TRAP TYPE/MFG <br />I:1 OTHER <br />PE <br />Code <br />SC <br />INFO <br />Received <br />B <br />7.(9195.1die <br />Cash <br />Amount <br />Remitted <br />Permit/ <br />Service Request # Invoice # Permit ID# <br />qa1Ci so ,9 <br />0476 <br />2-0 111 4(-6•° <br />al <br />qi; 21 SPOOMW <br />CONTRACTOR ADDRESS r/t1.2.r277 /4//‘.41/ <br />LICENSE 00C-42 00C-36 OTHER ti NUMBER A-a-7,77 EXPIRATION DATE - Z,2