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FOR OFFICE USE: <br /> -__________________----------_____._. APPLICATION FOR SANITATION PERMIT Permit N��. ._�7!� C... I <br /> ------------ -I---------------------------------------- (Complete in Duplicate) `� 1� <br /> _ <br /> ---- ----------------------------- ------------------- This Permit Expires i Year From Date Issued Date Issued ___ _ <br /> Application is ereb made to the S n Jo q in Local. ealth District for a permit to construct and install the work herein described. <br /> This app icati is de iy omplia a oun innaaannc�e_No. 549. <br /> JOBSS ND LOCATION_ - --------------------- --�-�------`----�-"-"`�"----------------------------------------.... <br /> Owner's )dame------- - .. F�irone -------------------•----:--- <br /> Address "'- = ------------------------ 4 y <br /> 4/ vls;-.--------- ------------------ <br /> Contractor's Name --- -' � ! `- L ------------ ----- -- <br /> Installation will serve: Residence Apartment`Ho use ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: _ __-- Number of bedrooms __ --- Number of baths _1____ Lot size 3-0--!'���____-_-_ <br />