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FOR OFFICE USE: <br /> n <br /> APPLICATION FOR SANITATION PERMIT <br /> Permit No. <br /> .P`_fd f- <br /> v �..�;------ - - --------------- ------ (Complete in Duplicate) <br />-- - �PN1.- <br /> - - Date Issued <br />--_..-_-------------------------------------.------------- This permit Expires 1 Year From Date Issued ' <br /> Application is herdby made to the Sen Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This;appGti <br /> caon.,is,made in complia e_with County Ordinance - o. 549.E y <br /> 7 3 - --- ----------- <br /> 7 ---- _ <br /> JOB ADDRESS AND LOCATION-____-- ©�------------ <br /> -..----- <br /> Owner's Name--- ___ _ _! _ _ <br /> _U_ -------, _. •- -------- -------------==:ray-- t Phone`1_7_741-77 <br /> Address-------------- �_��=--------R-� ��� � � � .-------------------------------------------------- <br /> MWR� <br /> r_ <br /> Contractor's Name-----------------------------------------P..A_R__P,1,5JA------- ....... <br /> --- _Q_ 4 Phone. <br /> Commercial <br /> Installation will serve: Residence K Apartment House ❑ ❑ Trailer Court E] Motel [I Other E] <br /> Number of living units: __;t___ Number of bedrooms -__Number of baths„- <br />