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�;,,� rc�K carric:t u5t: <br /> -------------------=----------------------------------- <br /> ------ -------------------------- --- ------------------- <br /> ---------------_--.__.______________________._____._____.__-_ APPLICATION FOR .SANITATION PERMIT Permit No. ._c . � <br /> ---------------------------------- -- ------- -----•- (Complete in Duplicate) <br /> ------------------ This Permit Ex fres 1 Year From Date Issued Date Issued <br /> Application is hereby made to the San Joaquin local Health District for a permit to construct and install the work herein described. <br /> This application is made in comp)N' rice with ConQrdinance No. 549. M <br /> JOB ADDRESS AND OC SO ---...2. .� ^_.F-r-----.-------1IAilvi-&-' <br /> $�R:D _K1-mac - - -------- --------------- ------- <br /> Owner's Name-------- -- ---�---•-•- - ----- ----- Phone-----•---•-•------------------------ <br /> `_ Address Z ^ Z/ ------------ 1-1 _ <br /> Co'ntractor's Name-� �� ----:SF�TI�_.._S�l��!-�C ------------------ ----=------- <br /> - • ----------------- <br /> ------------- Phone.----------••-----------•---------- <br /> Installation will serve: ResidenceET-Apartment House Commercial ar`� — `- <br /> ❑ ❑ Trailer Court0 '"Mo#el'❑ �Other ❑ <br /> Number of living units: -1------ Number of bedrooms.____ Number of baths .._._ Lot size __//�_�__/4CFZE=------------------- <br /> Water Supply: Public system E) Community system El Private � epth to Water Table �_tQ__ ft. <br /> Character of soil to a depth of 3 feet: Sand�6ravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe ❑ Hardpan ❑ <br /> Previous Application Made: (If yes,date--------_ -------) No dew Construction: Yes ❑ No g IA/VA: Yes ❑ No ffr_ <br /> TYPE .OF INSTALLATION AND SPECIFICATIONS- s <br /> (No septic tank or.cesspool permitted if public sewer is available within 200 feet.) <br /> Septic Tank: Distance from nearest well _.____--_Distance from foundation_________ _______Material--.----------------- <br /> T-1 <br /> ______._. __ _T'f fAG­ No. of com .artments_._______._._I____._____size___---______ _ <br /> p " Liquid depth--------------------------Capacity <br /> - f< <br /> Disposal Field: Distance from nearest well__,50_..._.Distance'from foundation---1i�-----------Distance to near est <br /> �T -Number of fines----------f..-_____.__#----------Len' th,of each line___--- r Ir ' _T-- <br /> 9 .�5 r Width of trench --=--------- 1 <br /> •f F 6t> Type of filter material-] C/4------Depth.of filter material ___. `lf__._ ._____Total length <br /> _ . ---------- :. <br /> Seepage Pit: Distance to nearest well - --.-_-----Distance from foundation-------------_------Distance to nearest lot line_____.__.,___ 3 . <br /> ❑ Number of pits---__---9-_._ &Lining material____ _ .. ""` _Size: Diameter________ ____________ Depth_-. .---------------- <br /> S+ � <br /> - -=------ <br /> Cesspool; Distance from nearewell=______ __�__bistancfrom foundation,_. ._._. --------Lining material_______---------------------------- <br /> e _ <br /> .. Size: Diameter-----------------� A---- ---------Depth------------- ---------------`-- `-------------:----Liquid Capacity-.--------------------------gals\0 <br /> Privy: Distance from nearest well4 <br /> _____ __________ _____________._______.._____-Distance from nearest buildin <br /> e ----•-------------------•-------------- <br /> ❑ Distance to nearest,l0t I nei <br />