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FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT . /_ ���/ <br />Permit No. .��.1,-.^-'^.`r <br />------- - . N�,mpl�e;nT�pUmam� ' <br />' Date Issued <br />�m�,�,���m��|soww� . <br />.,," � /-2_3o-/2- ' <br />-^ ^ <br />n6 install the work �e,u/n <br />Qcp_)�1%3ticfis hereby mode tothe Son Joaquin Local Health District for a � to construct o n <br />described. This application is made in compliance with County Ordinance No. 549 an existingAles and Regulations: <br />�uu *uux�xu/�u�x/ u~��~ ,~°�~ / <br />'� ~*p�r�----� ^ - v"' -� <br />���' ° �� pno ---' <br />Owner's Name ��°- w*^�c-'----'-- ------� <br />Poo <br />Adores , city <br />Contractor's Name _/'Ii <br />Installation will serve: Residence,% Apartment House 71 Commercial E]Trailer Court 0 <br />Motel [�Other -------- _-----------'-- <br />Num6er of living units:.--/- Number of 6m6ronmo -/-Go,boqo Grinder 10.2- Lot Size -------- <br />Water Supply: <br />—'YYoterSvpply. Public System and name -------- -------------- ----- - -------------- ----------------------- <br />Character of soil to o depth of feet: Sand'E] Silt {lay O Peat Sandy Loam.V Clay bmm ,0 <br />to wells, b ' st be placed on reverse side.) <br />(Plot plan, showing size of lot, location of system in relation uildings, etc. mu <br />NEW INSTALLATION: (No septic tank or seepage pit permitted if public sewer.is available within 2 . 00 feet,) <br />PACKAGE TREATMENT SEPTIC TANK <br />,pA Material --- No. Compartments <br />Distance to nearest.. Well ----------------- Foundation Zpe9 Prop, Line .......... <br />LEACHING LINE k <br />4 !P. Type Filter Mciterici/�_A`­/�­ODepth Filter Material <br />Distance to nearest ----- -------- Foundation Property Line ----------- <br />SEEPAGE PIT r I Depth .... Number ....... . ------- Rock Filled Yes 0 P40 Li <br />Diameter (.7, <br />Distance to <br />REPAIR/ADDITION (P <br />----------- ­ -- ----- (Draw existing and required addition on reverse side) <br />I In a orclance with Son Joaquin <br />I hereby certify that I have prepared this appiication and that the work will be done cc - <br />County Ordinances, State Laws, a'nd Rules and Regulations of the Son Joaquin Local Health District. Home owner or licen- <br />sed agents signature certifies the followingi <br />"I certify that in the performance of the work for which this permit is issued, I shall not *mploy any person In such manner <br />as to become subject to Workman'sA Cam pensatton aws of California." <br />FOR DEPARTMENT USE ONLY <br />APPLICATION ACCEPTED BY <br />BUILDING PERMIT ISSUED _6 <br />-----...� ._- <br />'-----_.-__-----�--_DATE -'.l���l��l�_---- <br />~^~-~------- ^ DATE_—.-------'—'- <br />------'`--'-------'------'--��r—'- ^ <br />8ou|�uxv*�Cuoxm.mv/o--_--------^--_--_--_--_. <br />____.__________.__..-----__----'---'----'--' <br />......................... ...................... _.—___.-'....... _...... ....................... <br />- ----­--------------i�i���' \��\[�------�-.--'--'---_'---_ -- <br />nno/m,pe"""."v'-'a~~-,^�~°°^�---r---���� <br />SAN ]OAQU\N LOCAL <br />' <br />' ---..-'-'--''' <br />�_Doa-�/�.���//�------ <br />HEALTH DISTRICT �� <br />