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<br /> APPLICATION FOR PEFMtT
<br /> SAN JQAQUIN LOCAL HEALTH DIS+.•'Cr i i i L�
<br /> 1001 E. HAZE,70.4 AVE., STOCK70'd, CA
<br /> Te'ephor.e 12031 466"67M �-- -
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<br /> FEFl11T EXPIRES l YEAR FROMDATE ISSUEL
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<br /> 1� FUm,?V6TALLAiJ0'J ❑ e^ e, PROP. LINE 1e�
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<br /> c 'CE TO NEAREST. 5EFTIC TANK �_ SEi':ER L01 �+r
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<br /> SEr7iC TANK 0 T),e,1.Vg cipcity—
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<br /> }'* CISPOSAL Fc':DS fJ
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<br /> I hercty ctti!y that I have plcprled rhis appl:cj.!on tnd ihlt:he,,,c:k v it*e dcoe in tccordznce,':'•h San?eaCtin county erdinancrs,su!a 4ws,and
<br /> I-! rusts and,tsu'lsier.s ei:he Srn JcxCuin Local Fex1:h D1516cs.
<br /> ILIES o;:r.tr cr litenstd agtot's ligrtture ctral is.he fet!ev:,r.g;"I cerdy that in the cr c,rrince of the work forh;ch chis Perm,is tracl;,i sign nee
<br /> t^" tmptcy any pc'scn in such mtnctr 1s;o btcor.e xubitct:o,•ca,r^tn ccmpensa:icn la•a c!0x1"o+ma:'Ccnulc;or's hiring e,sub-conurcting s.gr.tsme
<br /> empi es the peas•i in u cerV!y ter in she ptrtcrmrnct of she s•.c:k 10+,11th:h's;ermit is issues,1 shag employ utrsGr•s suhjeu!o uLrr•1n's tcrr,•tnsa• , '
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