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hrruwarwrr rwn ranmrr - <br /> n�TC y �!�BUILDING INSPECTION DIVt810N !�'�tiC 1�� NAL DATE _7-gq 13$��9 Give This NumberWhen <br /> SAN JOAQUIN COUNTY PLANNING AND vv iD• Calling for Intapection <br /> BUILDING INSPECTION DEPARTMENT INSPECTOR CALL 24 HOURS IN ADVANCE <br /> 1810 E. HAZELTON AVE., STOCKTON,CALIFORNIA-PHONE 1208!9"-3701 <br /> DATE ISSUED <br /> .. L <br /> Rtkad <br /> APPL. DATE <br /> APPLICANT Q LC / <br /> ADDRESS PHO <br /> JOB LOCATION <br /> CON PHONE <br /> OWNER TACT <br /> ADDRESS PHONE <br /> SCOPE OF WORK <br /> Acc. By A n n C1 App, By Date BUILDING <br /> Permit Fees S�_Sch. HE $ <br /> g <br /> Remarks Plan Check <br /> 8 <br /> BY: TA.S S_ <br /> S.M.I.P. (State of Calif) S <br /> Microfilm $ <br /> Cent. H/AC $ $ <br /> Size Const. Val. S MOB ILEHOME INSTALLATION x <br /> $ 1 <br /> Plan. Dept. Ret. N Zone <br /> PW Dept—Drain/Flood Own. Rel. Att. PLUMBING <br /> _Fixtures_GD_DW 8 <br /> SJLHD Fire S Excay. N City Water Heater <br /> TH SECTION TO BE COMPLETED BY APPLICANT: DEPT. USE ONLY Water Line <br /> I m the owner of the property. CI Ins Cert on Gas Piping <br /> - 1 <br /> —without <br /> will do the work myself. If I hire anyone File, Exp Date: Sewer/Drain Line <br /> J/ without complying with Workers Comp- Sewer/Water Conn. <br /> ensation Laws, my permit will become <br /> void. O Owner 0Contr $---1-- <br /> _ My employee(s) will do the work. , h <br /> I will have a Licensed Contractor do the OR (Conn. P � 3a► t rcx)Mlaint. Oist. <br /> work. <br /> Contr. 0 Contr. No-hire MECHANICAL <br /> Address Stmt. on File <br /> Comb. Unit/Heat Pump S <br /> City Ph. (—) <br /> Lic. Class Number Labor Code 380 Furnace/A.C. <br /> I am a Licensed Contractor: Gas/Water Piping <br /> Name Phone 1_) Range/Dryer <br /> Address City —Hood/Fan/Vent _ <br /> License Class Number <br /> Arch/Eng Lic# ELECTRICAL <br /> Address Phone I—) Fixtures: Incand. S <br /> Fluor. Flood <br /> Construction Lender Outlets: Light o/I <br /> Calif. C.C.P.$3097 Switches Recept. <br /> I hereby acknowledge that I have read this application and state that the Motors HP <br /> content is correct. 1 agree to comply with all applicable laws and <br /> ordinances regulating building construction/plumbing/mechanical/elec —Service----Amp <br /> trical installations. Range/Oven/Dryer/Wtr. Htr. <br /> I UNDERSTAND THAT THIS PERMIT BECOMES VOID IF WORK IS = <br /> NOT STARTED IN 180 DAYS, IF WORK IS ABANDONED FORA Temp Pols_Yes_No ! + r <br /> PERIOD IN EXCESS OF 180 DAYS, OR IF NO INSPECTIONS ARE Panels__Amp <br /> 1 'i <br /> CALLED FOR IN A PERIOD IN EXCESS OF 180 GAYS. IF WORK IS <br /> Feeders---Amp <br /> NOT TO BE DONE REFUND MUST BE APPLIED FOR WITHIN 180 <br /> DAYS. <br /> .� Signed <br /> OWNER ❑CONTRACTOR OTHER FEES Sub-TO <br /> Rec N Amt 0 Ian Check.—$ <br /> eyt s <br /> AUTHORIZED AGENT <br /> Re TOTAL FEES41 <br />