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FOR OFFICE USE: <br /> APPLICATION FOR SANITATION PERMIT 3 <br /> ------ - <br /> (Complete in Triplicate) Permit No. <br /> ----------------------------------------------- This Permit Expires 1 Year From Date Issued <br /> Date Issued <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 <br /> in compliance with County Ordinance No. 549 and existing Rules and Regulations: <br /> JOB ADDRESS/LOCA_ 9" . !S-O ------ ---- ✓� -- GP -----------------------CENSUS TRACT -------------------------- <br /> Owner's Name _ - - ----- Phone <br /> Address -15 ---- h ---. Cit -----------------•------ <br /> Contractor's Name -- ------- _ - _- -- ----------------License #1,V1_.3t --------- Phone ----------------------..... <br /> Installation will serve: Residence E Apartment House-[] Commercial ❑Trailer Court <br /> J Motel ❑Other -------,_..____ _ <br /> Number of living units:------!_---- Number of bedrooms ___"_ <br />