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r FOR OFFICE USE: -"- <br /> � S -------- // "-Q P7 <br /> i-24-J ----------- -- 3 �- APPLICATION FOR SANITATION PERMIT Permit No. . 1� <br /> ----------------------- ---------- ----------------- -- (Complete-in Duplicate) <br /> ---------------=------ -- ------------ -------------- --" This Permit Expires 1 Year From Date Issued Date Issued <br /> i <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and <br /> This application is made in compliance with County Ordinance No. 549- install the work herein described. <br /> JOB ADDRESS AN LOCATION_"_" _ I� �-. �p + <br /> Owner's Name-_ 7Vf44 ,�. <br /> Address_______--_-:`� _•_ °� <br /> -� -T_�----------------------------------------------------------------------------------------------- I�: <br /> Contractor's Name---- - I` <br /> • ------------- Phone..-"1...-- <br /> ---------------------------------------------------- <br /> Installation will serve: Residence Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel �I <br /> _ ❑ Other ❑ <br /> Number of living units: -_J---- Number of bedrooms .,,'a_-" Number of baths _ Lot size --- <br /> Wafer Supply: Public system ❑ Community system ❑ Private 2-'-Depth to Water Table "4-Pft. # <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel [] Sandy Loam [] Clay Loam ❑ Clay ❑ , Adobl [3--Hardpan E]Previous Application Made: (If yes,date_..-- ------) No [�—New Construction: Yes ❑ No FHA/VA: Yes ❑ No B <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: <br /> ( <br />