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FOR OFFICE USE: i i ,•t <br /> ----------------- ------------------------ <br /> APPLICATION FOR SANITATION PERMIT Permit No. A..... ............. <br /> ----------------- ------------------- - (Complete in Duplicate) <br /> This Permit Expires 1 Year From Date Issued Date. Issued <br /> c <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. <br /> i This application is made in compliance with County Ordinance No: 54.9. <br /> cc�� ------------------------------------------------------------------ <br /> JOB ADDRESS AND LOCATION__;Ql__��l___�,� _�E�:.�___________________----- _. _"-"•------- <br /> Owner's Name Phone...--•---------•----------------•--- <br /> ` 2� <br /> Address---_--------------- '3. �� �' =----------•-------------------------------------------------------- <br /> Contractor's Name . -------------= = Phone <br /> Installation will serve: Residence Apartment House-E] Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units _ ._l__ Numbers_ <br /> R ,rof bedroom . Number of baths __. Lot'size _a-1`!----- _______-------------- <br /> ...... <br /> 4 <br /> Water Supply: Public system E]- Community system 0�'rivate ❑' Depth to Water Table fg ft. _ .y <br /> - " <br /> Character of soil to a depth ' 3 feet: Sand []. Gravel ❑ Sandy Loam [] Clay.Loam lay ❑ Adobe❑ Hardpan ❑ <br /> Previous Application Made:- (If yyes; <br />