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- f_PR;OFF ICE USE: <br /> APPLICATION FOR SANITATION PERMIT <br /> FOR OFFICE USE. <br /> (Complete in Triplicate) Permit No.-:7?"6Z� <br /> �± <br /> This Permit Expires ] '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 and existing Rules and Regulations: <br /> JOB ADDRESSAOCATI N-- <br /> --. 7 <br /> ! CENSUS TRACT- <br /> ----- ------- <br /> Owner's Name------- <br /> ---- i <br /> Address_ t ------------ ..--------_-.-Phone--------- -------------- ----- `--- , <br /> -----------= - - <br /> - ------ ------- --city-, <br /> - - P <br /> Contractor's Name--- - --=- -------zip------- ------- -'---•- -- <br /> ` ----_=/ - ------ -------- - -----License <br /> ---------•------ <br /> Installation will serve: r. _,. ....... ne -- ----------- <br /> Residence l <br /> P �o <br /> I K; Apartment Hou Se Commercial ❑ Trai <br />