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w . <br /> yv P <br /> �� <br /> SANITATION <br /> »'��^r� <br /> ��Pp[�����T����� �FORPERMIT[ Per mit No <br /> . <br /> \�/ - , <br /> Y % . ^ (Complete �up|�a+m) <br /> Date Issued <br /> install <br /> - <br /> plication is hereby made <br /> ' <br /> |H` �^ permit n� � Uf�n work described. <br /> is application is made in cornplian�e with County Ordinance No. 549. <br /> ESSAND LOCATION--------- -----r=_..___J.Alab__0---/---------------------------------------------------------------------------------- <br /> Address---------------------- -------- -------4---------- -- ---- - -- ------ ------ - <br /> mercial E] Trailer Court E] Mofel [:]. Other 0 <br /> aT <br /> Installation will serve: Residence X <br /> Nun�ber of living units: Number of bedrooms& <br /> Water Supply: Public system Communit'y ;ysf7e;­E1 Private;!r-Depth to Water Table us-Off. <br /> Character of soil f9 a depth of 3 feet: Sand E] Grave 1 El Sandy Loam [] Clay Loam E] Clay E] Adobe< Hardpan F] <br /> Previous Application Made: Yes*�o E] New Construction: Yes E] Nojg�H&/VA: Yes 0 No <br /> TYPt_Q�,INSTALLATION AND SPECIFICATIONS: I <br /> 6--,No septic i tank - cesspool- ~--'-- if public sewer is availabl- --- -- --, <br /> k Distance from n' a f we��_4_0_?__7Distance from foundation__Z_i9.'*____Material----- <br /> S an e res <br /> D. Distance from nearest well�'��''��Distance m <br /> Num6er of |ines� Length of each <br /> h line_-'----~'-'----- <br /> -_'vi6+ of �enc6----------------------------------- <br /> Type <br /> ---'-'''-''_-- <br /> Typu offi�er mo+o�oL_------'Depth ~6f filter mo+e�uL-.-----Jn+o| length------------------------------------------ <br /> Seepage <br /> -_--_.__._.- <br /> Seopuyo Pit: Distance to neuna� we|L'-'----'�D�tuncu from foun6ot�n--'-_.__.D�+onc= tp nearest lot line-.�--''- <br />| []' Number of �� ' Unn o��u| '-----Size: Diameter Dept <br /> .rn,v ".,.""ce from <br /> libe ---------- - ------------ <br /> ---------------­ ------------------------------------- ----- ---4;L <br /> ------------------------------------------------------------------------------------------------ <br /> � . .""� <br /> - 6 �_�f� hat I have p4pared this application and that the work will 6e done in accordance with San Joaquin County <br /> � <br /> (SigQ� afi4 � <br /> --- -------I- ------ I - - - - <br /> (Plot plan, showing size of lot, location of system in Ills, 6ui in fc., can be placed on reverse side). <br /> FOR DEPARTMENT USE ONLY <br /> � - <br /> APPLICATION ACCEPTED 8Y- <br /> REVIEWED 8Y' <br /> BUILDING PERMIT ISSUED-------------------- <br /> ' ..------.-_---'---------. DATE- <br /> AKo,m+iwns and/or recommendations:------------ -----------_--.---------.-_--_._---__��,�.����_______ <br /> / ------------------------------------------------ --------------------------- ----------------------------------------------------------------------------- ' --------------------------------------------------------------- <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ' <br /> . ------------------------------------------------------- ''-------'-`�'''-''''---'''--'''-_.---:----------- - -------------------------------------------------------------------------- <br /> . --------------------------------------------------- -------------------------------------------------------------------------------------------- ---------------- <br /> �� <br /> RN/\L INSPECTION BY:.---- .---_--.--.-.. Date_ �� <br /> .~'.-------_------' <br /> SAN JOAQU|NLOCAL HEALTH DISTRICT � <br /> mn so"m American Street l oonWest Oak Street mx Sycamore Sfreet w|* North ^C^ Street <br /> Stockton, California | Lodi, California Manteca, California Tracy, California <br />