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u/ <br /> APPLICATION FOR SANITATION PERMIT <br /> (Complete in <br /> /�� 0 �' <br /> /\ o|�o�o is �on,6v m��� to H`o San Joaquin Local H�o|�� D��,�tfo, u permit construct �n� in' 'U 6'e°mrk �onain 6���6n�. <br /> hi <br /> | supp|icut�"n is made in compliance with County Or6inunc No. 549. <br /> INSTALLATIONJOB ADDRESS ArNDC [ON--- ---- ---------- ------ <br /> Installation will serve: ResidenceX Apartment House F] Commercial E] Trailer Court F] Mof9I E] Other E] <br /> Number of living uni s: �umber of bedrooms.L Number of baths V Lot size---- -------------------------- <br /> Water Supply: Public system Commun�fy system F-1 Priv�fe E] <br /> Character of soil to a depth of 3 feet: Sand E] Gravel E] Sandy Loam E] Clay Loam E] Clay El Adobe 7V'Hardpan E] <br /> TYPE OF .N- SPECIFICATIONS: <br /> (No 000fic tank or cesspool permitted if public sewer isavailable within'2O0feo+J <br /> S Tank: Distance from nearest well----- <br /> from foundation-----/AV---^_Mofe,iuL' -. - <br /> 5?1 No. of compartments--------- -------Capacity--YA!7_0------Size-_;SCY-,;�4--7-'-Liquid depth_�_.'__*-------- <br /> Seepage Pit: Distance to nearest well----���____Distance from foundation----12-0-*'-.Disfance to nearest lot <br /> Disposal Field: Distance from nearest weJI----��!�.Distance from foundafion---- 47......rDistance to nearest lot line_2!4�...... <br /> Type of filfer Depth of flifer material-------- --P - _ <br /> -----------------------------------------------------------------------------------------------------------------------------------------------------------&-------V <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin untyel <br /> ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. ""'t <br /> (Signed)__,0._.,A-------19441L_L-_eZ4-�_ ------"..A--IS ------------------------------------------------------- Vawmap-erd/or Contrac <br /> (Plot plans, showing sime of lot, location of system in relation to wells, buildings, etc., must be filed with this application). <br /> FOR DEPARTMENT USE ONLY <br /> __--_---__-----_-_--__.--__---.---_-----_--..__--___----__...=`-___--____-_-_---_-. . <br /> ___________________�____'_______'________________________________'_______________'__________---____ <br /> ---__--___-.-_-._-_-.------_------_'_----__--_--__-.__--___--_--_-_-._---._. <br /> '_-'-'---'-_.'-'---__.'''-'-' <br /> _ .~ . "^ -'''--''---_''''--_�.''-'''�--'''-_--'''/''-__.'''''--'-`''-- <br /> PERM|T ���-JD�te FINAL INSPECTION BY�-.. Q -''''-'--''�-''_-_o ^ ..� ~ . |SSUE[l. . Dutu ''-��- Lo ----- <br /> SAN <br /> 'SAN JOAQ0N LOCAL HEALTH DISTRICT ' <br /> 138 South American 6fnem+ <br /> Stockton, California <br /> s3-9-2w9'50Wc/639 <br /> ~ <br />