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FOR OFFICE USE: <br /> _-- ------------------ -------------- 3° a <br /> 9 APPLICATION F6R_SANITATION PERMIT Permit No. <br /> ------------------- j. ------------------ (Complete in Duplicate) <br /> -__ This Permit Expires.1,Year From Date Issued Date Issued <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 No. 549. <br /> JOB ADDRESS AND LOCATION-- --L_---+ 8 ------- �1 - <br /> Owner's Name ' <br /> /.f,�lss -�--w - Phone <br /> -------------------------- <br /> Address-------- --,f'',��1--------------------------------------------•----.-...------------------------------------------------------------------------------,. ...------------ <br /> Contractor's Name------- �*---------- ----- Phone----------------------------------- <br /> Installation will serve:. Residence ZKAparfmonf House ❑ Commercial ❑ Trailer Court ❑ Motel [:1 Other ❑ <br /> _ Number of living units: J.. Number of bedrooms t3--- Number of baths -IX.- Lot size :-- , ------------------------------ <br /> Water Supply: 'Public system :❑ Community cyst{ �� Private Depth to Water Table --�ft. r <br /> Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑_ Sandy-17,:56-ffi 0—Clay,Loam ❑ Clay ❑ Adobe Hardpan ❑ <br /> Previous Application Made: (If yes,date--------------------1 No P--'—New Construction: Yes .� o ❑ FHA/VA: Yes�^'No❑ <br />