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FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT ' <br /> ------------------------------------------------------- <br /> {Complete in Triplicate) Permit No: ._��-�---7- <br /> --------=-- -------- ----------------------------------- Date Date !ssued <br /> ----,-_-----------_----- .--- ---_- This Perrnit Expires 1 Year From D24.1skued, .1 " <br /> Application is hereby made to the San Joaquin Local Health District for a',permit to construct and install the work herein <br /> described. This application is made in compliance with Count..Ord inance,-No..549 and existing Rules and Regulations: <br /> JOB ADDRESS/LOCATION --....0----------'qS'. `x1_ _ ='- CENSUS TRACT -------------- ----------- <br /> i r 4 :P r 3 <br /> Owners Name G--�----------------------------------L----------::----------------- ------------- - -Phone; <br /> Address ------------ ------ z / ` sda = . = . City.::._. ----------------q-------------------- t <br /> Contractor's Name -----A4.�-----r1-Z,4A�Fr__ R_--------------------- --------License # 7s�6-75ja Phone <br /> Installation will serve: Residence ❑ Apartment House❑ Commercial,[:]Trailer Court ',❑ <br /> Motel ❑Other .Pv--P - ----------------- <br /> Number <br /> - _._ - - _ <br /> - <br /> Number of living units:______ Number of bedrooms _-- __ -_--Garbage Grinder ----- Lot Lot Size: <br />