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•: .�E`•: Reprinted on 04-29-2015 at 09:57:010 <br /> RECEIPT <br /> 1vv� P San Joaquin County <br /> `-fir oRa�I <br /> Community Development Department <br /> 1810 E. HAZELTON AVENUE <br /> Stockton,CA 95205 <br /> (209)468-3121 <br /> Number: R167965 <br /> Permit Number:BL-1500096 I Parcel: 119-100-03 Date: 04/29/2015 Time: 09:45 AM <br /> Permit Address: Issued By: COUNTER5 MEA <br /> 1813 E CHEROKEE RD STOC Permit Type: BL <br /> Permit Sub Type: <br /> Owner: Applicant/Contractor: <br /> SALAZAR,MANUAL ETAL JARVIS,JEFFREY <br /> 40087 MISSION BLVD#24 6763 VICKSBURG PLACE <br /> FREMONT CA 94539-3680 STOCKTON,CA 95207 <br /> License: <br /> Item Account Total Previous Current <br /> Number Description Code Fee Paid Payments Payments <br /> 5000 Business License 10001-1011000000-4201000000 50.00 50.00 .00 50.00 <br /> 5002 Development Div Services 10001-2025600000-4625100550 399.00 399.00 .00 399.00 <br /> 5009 Environmental Health 10001-4042000000-4641000000 25.00 25.00 .00 25.00 <br /> 5013 engineering Fees 20002-3030101000-4636100500 25.00 25.00 .00 25.00 <br /> 6003 Disability Access-Coo 12234-1999000000-4625101500 .70 .70 .00 .70 <br /> 6024 Disability Access-state 81334-7999000000-4950000000 .30 .30 .00 .30 <br /> Transaction Date: 04/29/2015 Total Payment: $500.00 <br /> Tyne Method Description Amount <br /> Payment check 291 500.00 <br /> Notation: JEFFREY JARVIS DBA JARVIS MOBILE REPAIR <br /> THE FEES INDICATED ABOVE MAY NOT REFLECT <br /> THE TO FEES DUE UPON PERMIJJSSUANCE. <br />