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--------------------------------------------------------- <br /> APPLICATION FOR SANITATION PERMIT Permit No. <br /> -------------- ---------------- ----------- ------ (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 ANIS LOCATION.- R3-(W=±-•----� <br /> Owner's Name_ <br /> ---- --------------------- ----- Phone <br /> Address---S-3,5! _-0-1. -- � _���_.�1 �� ..---------------- ----------------- <br /> -- ----- -------- - ----------- <br /> Contractor's Name_..__._ r�c1t --- _-•-- F ----------- <br /> Phone----- ---------- ---- <br /> Installation will serve: Residence Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ <br /> Number of living units: __If__ Number of bedrooms _2'-- Number of baths __I___ Lot size -----6-o <br />