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f <br /> FOR OFFICE USE: APPLICATION FOR SANITATION PERMIT <br /> ---------- ------------ Permit No: <br /> ---------------------- <br /> (Complete in Triplicate) <br /> ---------- ---- ------------------------------------ <br /> --------------------------------------------------------- This Permit Expires I Year From Hate Issued <br /> Date Issued -_. -.7� <br /> Application is hereby made to the San Joaquin Local Health„District for a per to construct and install the work herein <br /> described. This application is made in compliance with County Ordinance No. 549 and existing Rules and Regulations <br /> JOB ADDD R�ESS/LOCATIbN ._ - 0tIll / ' ,4 ---------------CENSUS TRACT ----�-------------------- <br /> -------------- <br /> ------ <br /> Owner's Name �,� --------- <br /> = Phone -------------- <br /> �j T <br /> Address ---- . 0” -----------------------------------•--• City6�0_4�r� --------- ------ ---- <br /> r a _`:` -. <br /> . is Na.m.e.rQ! r ------ License # � Ph ne C <br /> Contractor's ------ - - - --------- <br /> r---T <br /> .-,.v_.-. <br /> Installation will serve: tResidenceApartment House[� Commercial :❑Trailer Court ;❑ <br /> �' <br /> Motel F-]Other _� --------------------------- <br /> Number <br /> ---------- - ----------- �i ,l , <br /> Number of living units..--./---_ Number of bedrooms---I_Garbage Grinder/t <br />