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FOR OFFICE USE: <br /> ------- . yam <br /> --- <br /> - APPLICATION FOR SANITATION PERMIT Permit <br /> --- ------- -- <br /> (Complefe•in Duplicate) Date Issued <br /> ___ _ ._-- -_-._- _----.--__--...__._.- This Permit Expires 1 Year From Date Issued <br /> ict for a permit to construct and install the work herein described. <br /> Application is hereby made to the San Joaquin Local Health Distr <br /> This application is made in compliance with County Ordinance No. 549. +'+ <br /> I <br /> ` 1 - j f <br /> JOB ADDRESS AND OCATION.___.�� /_ -�.-----�,r�--f2� 1 f �7� �f t' ` <br /> Owner's Name----- �12C-/- .- f .�+� !_ -�?-------•--------- -------- - ------------ ------------------ Phone-sM -=­;?P7j6 <br /> Address----------------------- 1TJ��---------�---/--------------- •------•-----------------•-------•------------------------------------------------------- -------------------------------- <br /> ------ <br /> Contractor's ------- - ---------•------------- --- <br /> Installation <br /> -Installation will serve: Residence 0— Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: .---. Number of bedrooms -1, <br />