NORTHERN NEVADA Public Health Serving Reno, Sparks & Washoe County

Permit Number: * hint: H20-XXXXPB

Facility Name: *

Facility Address: *

Contact Person: *

Contact Phone: *

Alternate Phone Number:

Email Address: *

Date: *

Date: *

Date: *

Special instructions or information (Locked gate, must call ahead for access, dogs, etc.)