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FOR OFFICE USE: s< <br /> -45--------------- <br /> • <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> ---------------- ------------------ - <br /> - <br /> -------------------------------------------------------- <br /> (Complete in Duplicate) <br /> Date Issued 1l-30--G-- <br /> --- --------- --------------------- ------- ...__.._ This P_ Issued <br /> _. Permit_Expires 1 Year From Date _ <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. w <br /> i <br /> JOB ADDRESS AND LOCATION -- - � ------ --'._ -'� C!' - <br /> f <br /> Owners -11. �-�- s <br /> Address ------------�-"f-n �. 4. fel' . .. ry <br /> __ � <br /> Contractor's Name---------- ------ --''rJL' -L-------•--•------=-----------------------------------•----------------------¢------- ------------- - Phone------------------------------------- <br /> Installation will serve: Residence a r 'A`artment'House El Commercial Trailer Court 0 Motel Other t <br /> 4V ! f3 h } ` 11 <br /> Number of living:units:',: Number,of bedrooms _�'____.: Number-of baths --_,__y Lot sii <br />