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RM <br /> R 1, 11i i n1�a a5 011-r: E E nn �E T <br /> SAN JOAQUIN I Cvu1 i i(COItIl U114 1 (i�c s cLOrilic�iT Jr t';.tS 1 I1!CrV I <br /> �: i� < 1810 E. HAZELTON AVENUE, S T OCK T Oi l CA 95205 <br /> •. BUSINESS PHONE: (209) 463-3121 <br /> -ter �.�:• <br /> `c am INSPECTION R—.UEST 24-14OUR RECOF1,173ED: (2C9)468 3ico <br /> CHr=CKLij I —THE FOLLOWING INFORMATION AND DOCUMENTATION /!UST BE SUBMITTED TO DEVELOPMENT SERVICES Check- <br /> BEFORE YOUR APPLICATION CAN BE PROCESSED. Of <br /> a <br /> 1. One completed Application. <br /> N2. 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 Demalition Permit Application. <br /> j� 5. It is the applicant's responsibility to notify P.G.&E. and have utilities disconnected. It is also the <br /> 'I applicant's responsibility-to insure P.G.«_,.notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G.x- E. at(209 942-1^.95' <br /> Scope of c; <br /> DEPA:.Ti'A=riTS LISTED BELOW IVIUST GIVE A i=i''ROVAL P RIOR TO iSSUir3Liz D=-0 OLIT 10N PERMS T <br /> r-nvironmental HeallnDepartment Approval signature: ualeissued: <br /> { San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval Signature <br /> AR PO,LL J 1TI O I CONTROL DISTPICT ETdVHZMP 3ENTA.L 13EALT 1 DEPARTNIE'NT <br /> 1 <br /> »800 Enterprise W21Y 1568 E Ba7zelton Ave <br /> 'Modesto, CA Stockton,CA 95205 <br /> (209) 557-6400 (209)408-3420 <br /> i <br /> F:V;pplication Forms G Handouts\Check Iists\Check List Demolition Parmitdoc(Revised 6-30-14) <br />