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^� <br />' APPLICATION FOR SANITATION PERMIT PermitM <br /> KComp|efe in Dup|Ycafm Du+o |ssua60 <br /> �� <br /> wig <br /> -~ <br /> �/ \ � / ' <br /> ~ ` �e 6v � 6 fo +h Sm J i Loco| Hao|+6 District for u penn|+ to^ono�uct and �n�n||H`nwork �en�n 6o�66ed. <br /> T�plica-�ion is <br /> is application is made in compliance with County Ordinance No. 549. <br /> ' � �-�Nomo ~�� --.------.--.-^---------. Phoo <br /> -------- <br /> Contractor's ---.'� <br /> ------ <br /> Installation will serve. Residence D---Apartment House _ Commercial [] T,uVor Court [] Motel � O� <br /> h.^-�. <br /> Number ofliving units: / , 'berof bedrooms Number of baths ^ - Lot size ---�04-_/ - <br /> _--�-]_�_xc-'-~,--'-�_ <br /> __ <br /> Woter Supply: Public ' ,+e'm -- 'o 'miu-nity <br /> ' <br /> system F] Private [I Depth to Water Table D. fL Character of soil to a depth of 3 feet: ` . � <br /> ' . � G�� � �� | [] C� L�m�� C�y [] ��o0- Hu��" � <br /> Previous Application Made: Yes F1 No [?,'�New Construction: Yes El. No <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> " <br /> Septic (No septic tank or cesspool permitted if public sewer it available within 200 feet.) <br /> 'Tank:" '[ d~a' n'�'e from n—em'nes+-v�|L Di-stanca from foundation----- <br /> Material . � <br /> ' <br /> No-ofoomp°ronents--------------------------Size------------ -------------------Liquid dep�k--------------------------Capacity---._-- <br /> ~' " Distance from nearest weU---.- -Distance from foundation--------------------Distance to nearest lot line-'--'_-' <br /> Nu � , oJ |i=as^�'''_''�-'-'-Length of each line_''-'''-�''---V6fh'of �ep&-''-�-_.'-''__ <br /> Typ.e of filter material Depth of filter material -Total length- <br /> ------------------------ <br /> Seepage Pit: ~'~'~^^~ to nearest well----------------------- Wfoun - rest. � / <br /> ^�.. ."_-.Deo+h � �-._--.-Numerofp�o � M� S�e: Diameter <br /> i � <br /> ' <br /> ' | <br /> ' O �um �mndo�o L�� mo��� ' <br />~ Cesspool: ell of6 Liquid Caity- gals. <br /> Distance to nearestRomo6o|ing and/or repairing (describe);'''--'-''''-''-''--'-_.'-__'-_.____^__________--_____.__.______ . <br /> __..------.-__--_._-.__-._�-.__-__---..__.____.__-__--_�--_-'--._--_--__--._.. <br /> . ' __--__-.--_-'-'-_''_-'--''--'-'-'- ' <br /> ----.--_-_-'-----___---.._-._-___.--__.-_--_---__ � <br /> -'-----.__�..-�_._-__-_-_-'_._--__'___'-_.''--''--'-'--_'-'-__---'_-'-'-''I hereby -' <br /> �---'---'-''' H, ) h ' ro6 this application and that the work will be done in accordance with San Joaquin County <br /> ordinances, State Ipws,, and rules and regulations of the San Joaquin Local Health District. <br /> (0mer and/or Contractor) <br /> FOR DEPARTMENT USE ONLY ' <br /> y / <br /> APPLICATION ACCEPTED DY-- ----'- D/����� r7 <br /> +'-----''—' <br /> . ' D*TG . _ . . <br /> KEV|EVED 8Y--_-_-_.--------,------_.-y- _ _ <br /> � <br /> BUILDINGPERMIT ISSUED------------------ ---------------------------------------------------------------------------------- . °".�--_._.____.-__._______ <br /> Alterationsand/or recommendations:--------------------------------------------------------------------------------------------_---------- -------------------------------------------------- <br /> ----------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> ~ <br />. --'--'---�_-.''_--_''-''''-''''_'''-----''-''''_-''-''--''''-'--'----------------------------------------------------------- <br />' ._--!_-'---------'--'�---------'--------------------'-'--------------' <br /> --''-''''-'''-'''--''-'''-''-'-'-'''-'-'--'--' <br /> ------------------------------ --- -------------------------------------- <br /> 4-7 ^ <br /> Do+�� ���� -�� �� <br /> � �N'�LJNSPECT(�N 8Y�-. --------- ------------------------------------------ <br /> -'� '-��-T''� ~ --------- <br /> SAN JOAQU<N LOCAL HEALTH DISTRICT <br /> /so South American Street soo Wes* oak e,^°» /»z n'""mvm Street 8/4 North ^cr' Street <br /> Stockton, California Lodi. California Manteca, California Tracy, California <br />