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APPLICATION FOR SANITATION PERMIT Permit No. 51----(%- <br /> (Complete in Duplicate) / <br /> �%— Date Issued ___- �3/ � <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> This application is made in compliance with County Ordinance S49. <br /> JOB ADDRESS AND LOCATION---........ <br /> � <br /> Owner's Name----------- ----- --- --------- ---------- --------------------------- - -------------------- ---------------- Phone------------------------------------ <br /> Address �=y --------- ----- ---- --------- ------------------------------------------------ <br /> z�. r <br /> Contractor's Name J - -------------- - ------ - ---------------=---------- Phone...-------------------------------- <br /> Installation will serve: Residence &�partment blouse ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other [I <br /> Number of living units: _-l---_ Number of bedrooms ._- Number of baths lie Lot size ___ f __�/l <br />