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5 <br /> 1 <br /> APPLICATION FOR PERMIT <br /> =r . �L SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZEL T ON AVE., STOCKTON, CA <br /> Telephone (209) 466-6781 <br /> PERMIT EXPIRES 1 YEAR FROM DATE ISSUED <br /> (Complete in Triplicate) <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and/or install the work herein described. This application is <br /> made in compliance with San Joaquin County Ordinance No. 549 for sewage or No. 1862 for well/pump and the Rules and Regulations of the San Joaquin <br /> Local Health District... <br /> Job Address a to �' �' ' City _<'�dr l�Lot Size PM <br /> � f <br /> Owner's Name Address +�- L LJ r�r�i Phone 2! " �-!�L <br /> r -- Jam-- � —T <br /> Contractor 1`":I,'tfl�lt*Cy'' %-,C% <br />