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APPLICATION FOR SANITATION PERMIT Permit No. 12.:;L:S.-...- <br /> (Complete in Duplicate) cj <br /> This Permit Expires 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 compliance with County Ordinance No. 549. <br /> JOB ADDRESS AND OCA N_____ /� --------------------------- <br /> Z 64 <br /> Owner's Name------- _ _ _ _ __ _________ <br /> -------------------------------------------------------------- ------------- Phone------------------------------------ <br /> Address------------ <br /> -----------------------------------Address------------...... 7 e-z------- . ----- . .--- ----------------te-------------------------------------------------------------------------------------------- <br /> Contractor's Name------------------------------------------- -- - ------ - - -- � � -------------------------------------------- Phone----------------------------------- <br /> Installation will serve: Residence [Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: _ _._ Number of bedrooms___ Number of baths/of',_ Lot size ___Allia __ <br />