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1q1 <br /> wake <br /> RES N A ; Core, Wen <br /> �e n <br /> Aegis : <br /> lhu[ 6M4 P root r��.�►i�-�' <br /> kpn u1 - chi pro Ci Q.ft51 r%-WJ1. <br /> S as ha.Kc w Tala nvl.l Prod ►n� <br /> 1s -[D <br /> m.Q.lz.�n b�.t►� ��s�k � � <br /> w�� <br /> �eqjs w �-� -� 5 y� <br /> i 4e-- <br /> No <br /> ti �por�a <br /> qyWWVVA <br /> ti�I I'O`Wjtv-&� V91t <br /> ��d std <br /> rade. q. <br /> N} . a oto I b l rbtXl <br /> �o �u�el1 a <br /> Ove) q.3 qJPwv) W►pnr Phases <br /> ALSC�Vck P8'A`� <br /> hN4 \)6CW& 10 qc& I <br /> N\A* �qj 106 pem <br /> c�+d rnpbrhh j . <br /> t3kX4 ' <br /> � y <br /> �Iltcw,s Cos Coy <br /> L <br /> I hereby certiry tnat i Mme u ,....,....�_ <br /> rules and regulations of the San Joaquin County ,..�r <br /> Home owner or licensed agent's signature certifies the following: "I certify that in the performance of the work for which this permit is issued, I sha�ill nut <br /> employ any parson in such manner as to become subject to workman's compensation laws of California." Contractor's hiring or subcontracting signature <br /> certifies the following:-I certify that in the performance of the work for which this permit is issued, I shat]employ persons subject to workman's compensa- <br /> tion laws of California." <br /> The applicant must call for all eq ad inspections. Complete drawing KL <br /> e side.�rYz1� <br /> Signed Title: cit /• r c+.n o �l Date: . <br /> FOR DEPARTMENT USE ONLY <br /> Application Accepted by / Date Area <br /> Pit or Grout Impaction by oat,��Final Inspection by Date <br /> Additional Comments: <br /> Applicant - Return all copies to: San Joaquin County Public Health Services <br /> Environmental Health Permit/Services <br /> 445 N San Joaquin, P 0 Box 2 , Stkn, CA 95201 <br />