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�aU ftq' CHECK LIST — DEMOLITION PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE,STOCKTON CA 95205 <br /> • BUSINESS PHONE: (209) 468-3121 <br /> meq.: -.�tP INSPECTION REQUEST 24-HOUR RECORDER: (209) 468-3165 <br /> L/FOR <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION;MUS`f BE SUBMITTED TO DEVELOPMENT SERVICES.>. CMeok- <br /> BEFORE YOUR APPI I6AT,(ON CAN BE_PROCESSED Off <br /> 1. One completed Application. <br /> 2. Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br /> disposition of the well and septic system must be identified prior to application approval. <br /> 3. If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris Diversion <br /> Plan from Public Works Solid Waste Division office at 1810 E. Hazelton Ave., Stockton, 468-3066, <br /> PRIOR to obtaining your Demolition Permit. <br /> 4. Obtain Air Pollution Control District Approval on Demolition Permit Application. <br /> 5. It is the applicant's responsibility to notify P.G.&E. and have utilities disconnected. It is also the <br /> applicant's responsibility to insure P.G.&E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G.&E. at(209) 942-1526. <br /> Scope of Work: v <br /> Project Address: <br /> DEPARTMENTS kIS:TEp BELOW MUST GIV APPR011�AL PRIORTOTSSUNGDEMOL1T10N F�RMIT , <br /> Environmental Health Department Approval Signature: 47 ` Date Issued: cl y- ( 3 <br /> San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval Signature <br /> AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 Enterprise Way 600 E. Main Street <br /> Modesto, CA Stockton, CA 95202 <br /> (209) 557-6400 (209)468-3420 <br /> > Nt, <br /> 5 <br /> FAApplication Forms&Handouts\HANDOUMCheck List Demolition Permit.doc(Revised t-11-11) <br />