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Ik-r-Uat: <br /> - <br /> -- --------------------------- ---------------- --- <br /> --- ------ ----------- ---------_-------------_.-'I--_- APPLICATION FOR SANITATION PERMIT Permit No. —Zezall <br /> -------- --------------------------------- ---------- (Complete in Duplicate) <br /> ------------------ ---------- --------- ---------- This Permit'-Expires'l Year From Date Issued Date Issued <br /> Application is hereby made io 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, 54 <br /> I <br /> JOB ADDRESS A>3 LOCATION... <br /> --------- ------------ <br /> Owner's N C- .......................... <br /> Address ------------- -------------- Phone--------- -----------------�,Z <br /> -------------------- <br /> - ------- --- <br /> ------------------------------ <br /> -------------- <br /> Contractor's Name__--____-___ (11,11 V, ------- - --------- Phone-40& -3,1-V2- <br /> --------------------- <br /> Installation will serve: Residence Apartment House.®' Commercial ❑ Trailer Court C1 Motel El Other E] <br /> yNumber of living units111'1r/-- Number of bedrooms Y Number of baths Lot size <br /> Water Supply: Public sysfen III - ----------------------- <br /> X Community system D Private E-] Depth to Wafer Table/ 7, <br /> ft. <br /> 'i <br />