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SAN JOAQUIN LOCAL HEALTH DISTRICT �! <br /> FOA.OFFICE USE: 1601 E. Hazelton Ave. , Stockton, Calif. <br /> Telephoner (209) 466-6781 <br /> APPLICATION FOR WELL CONSTRUCTION OR PUMP PERMIT Permit No: <br /> THIS PERMIT EXPIRES 1 YEAR FROM DATE ISSUED Date Issued <br /> ' (Complete In Triplicate) <br /> Application is Hereby made to the San Joaquin Local Health District for a permit to construct <br /> and/or install the work herein described. This application is made in compliance with San Jo: <br /> County Ordinance No. 1862 an' d the Rules and Regulations of the San Joaquin Local_ Health Distri <br /> k JOB ADDRESS/LOCATION i / � �/ G �lGfC� /� CENSUS TRACT <br /> Owner's Name sy/dld�'� /d�'- �b� s�j-7 // Phone / — <br /> Address /�/�1 �� � c.�a c� -26 c5z/'ci City 574 <br /> Contractor's Name �. � ^ /�p�,G,46 /��� _s License 11 TSitf�Phone <br /> TYPE OF WORK (Check) : NEW,WELL Lg DEEPEN RECONDITION;/-7 DESTRUCTI <br />