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BUILDING PERMIT APPLICATION <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E.HAZELTON AVENUE,STOCKTON CA 95205 <br />BUSINESS PHONE:(209)468-3121 <br />INSPECTION REQUEST-24 HOUR RECORDER:(209)468-3165 <br />THE APPLICATION MUST BE COMPLETELY FILLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR <br />BUILDING PERMITS. <br />Scope of Work:GUARD BOOTH <br />Project Address:17950 Via Nicolo Contact E-mail:oosipova@foodpro_net <br />OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS <br />Name:MUSCO FAMILY OLIVE CO.Name:FOOD PRO INTERNATIONAL.INC. <br />Address:17950 Via Nicolo Address:P.O.Box 111 9 <br />City:Tracy State:CA City:Stockton State:CA <br />ZIP:95377 Ph#(20~836-4600 ZIP:95201 Ph#(2 0 9 943-8400 <br />CONTRACTOR INFORMATION Ph#() <br />Lic.No:Company Name: <br />Address:City:St:ZIP: <br />DESIGNER INFORMATION Ph#(209 943-8400 <br />Lic.No:Company Name:FOODPlW INTERNATIONAL,INC. <br />Address:P.O.nox 111 9 City:stockton StCA ZIP:95201 <br />LENDING AGENCY Ph#() <br />Company Name:OWNER FINANCED <br />Address:City:St ZIP: <br />Permit will be issued to an "Owner-Builder"Yes 0 No 0 OFFICIAL USE ONLY <br />If yes,a completed Owner-Builder Verification Form must Identification Number: <br />be signed and submitted along with copy of the owner's <br />identification prior to issuance of the building permit. <br />DECLARATION BY CONSTRUCTION PERMIT APPLICANT <br />By my signature below,I certify to one of the following: <br />I am 0 a California licensed contractor or 0 the property owner or IKlauthorized to act on the property owner's <br />behalf (requires written approval and Owner/Builder Verification Form signed and submitted). <br />I have read this construction permit application and the information I have provided is correct. <br />I agree to comply with all applicable county ordinances and state laws relating to building construction.I authorize <br />representatives of this city or county to enter the above-identified property for inspection purposes. <br />Applicant's Siqnature ~a}~/l7~3.lJd";9 Date c3j£fjplD <br />For your convenience cheCkStSdetailin~y additional submittal requirements for variou~uild/ing permit types <br />are available at the Building Division counter.Demolition permit and mobile home on foundation require check- <br />list. <br />F:IBUILDINGIHANDOUTSIBuilding Permit Application.doc <br />(Revised (07-22-09) <br />Page 1 of 2