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FOR OFFICE USE: <br /> �---------------------,/C 3 --- 2 <br /> v <br /> ------------------------------------ <br /> (APPLICATION FOR SANITATION PERMIT Permit No. ..... ._-. <br /> ----------- ------------------ - ----------------- ------- J ,'� (Complete in Duplicate) <br /> Date Issued <br /> This Permit Expires 1 Year From Date Issued <br /> ��--��--.--- <br /> Application is hereby made to the San Joaquin Local Health'District for a permit to construct and instal; the work herein described. <br /> This application is made in compliance with County Ordinance No:--549. <br /> JOB ADDRESS AND�LOCATION------ ..1-f2---- 5 - 7. -3_Y` --------------------------------- ----------------------•------------------------- <br /> Owner's Name ( -! _.:- i 1 .}' .-- 1 -�-- ------ ------------- Phone--- <br /> Address-------------------- / "tn <br /> -3\.f }.'`_g_j__7---r--------------------•._--_----_----------.-.__---_•-•--_--_- <br /> Contractor's Name '-!'k� 3� 1-_ 1 `"��- :,1�-�--• - - -- ----------------- Phone-----•---------•------------------- <br /> �.. <br /> Installation will serve: Res'sdence, <br /> Apartment House [] G+omMercial ❑ Trailer Court ❑ Motel ❑� Other ❑ <br /> "� . I ,� � <br /> Number of living units: Neer of bedrooms -- Number of baths ---�+_._ Lot size ----_ --- �--------___---- ---------- ----- <br /> _ .- roo Tee. b ' ,&.-- ww�eP�er�.a.ew�w•. a <br /> Water Supply: IPuu lic system Community system ElPrivat ❑ Depth to Water Table -------- ft. <br /> Character of sail to!ya depWof 3 feet: Sand F] Gravel ❑ San ly Loam ❑ Clay Loam ❑ Clay ❑ Adobe q Hardpan ❑ <br /> Previous Applitior, Made" (If! <br />