Laserfiche WebLink
2 <br /> AUTHORIZATION FOR APPLICATION FOR PERMIT(S) <br /> BY OTHER THAN OWNER OR LICENSED CONTRACTOR <br /> 1 <br /> TO: San Joaquin County <br /> Department of Planning and <br /> Building Inspection <br /> 1810 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> Phone ( 209) 944-3701 <br /> I, as the owner of the property, understand or have been <br /> informed that the application for a Building, Plumbing and/or <br /> Electrical Permit must be 'signed by the owner of the <br /> property, his duly authorized agent or a licensed contractor. <br /> I am also aware that I may designate a third party, such as a <br /> tenant or person in my employ, to sign the application for a <br /> permit on my behalf. I understand that that person ' s only <br /> responsibility or function is to acquire a permit on my <br /> behalf. <br /> I am aware that the responsibility for the construction and <br /> compliance to codes and ordinances is entirely mine and I <br /> agree to accept the same. <br /> Therefore, as the owner of the property located at <br /> Stockton, CA <br /> (address) <br /> 'I do hereby authorize <br /> ' <br /> (name) <br /> f .to obtain a -�' in my name by affixing <br /> (t a of permit <br /> my name followed by his or her signature on the application <br /> for •two, <br /> type of permit <br /> OWNER'S SIGNATURE <br /> OWNER' S ADDRESS <br /> OWNER'S PHONE NUMBER .9 V/ Z X/ DATE 7 <br /> a <br />