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CITY ur. s.ru�navi. <br /> FIRE PREVENTION DIVISION <br /> Telephone: (209) 944-5271 — <br /> x <br /> APPLICATION FOR PERMIT AND SPECIAL INSPECTION r <br /> Application & Permit No. <br /> 7 Date: <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code. <br /> Article(s)/Section(s) Fee(s) <br /> 7 rl, //3 <br /> Total Fee Required <br /> This permit and special inspection is to be used for the following purpose(s): <br /> - <br /> Business ;'– -� 't.;•' '� - , - '' G L �_! L.c.- - { <br /> Street <br /> Telephone <br /> Names of Additional Parties Involved: <br /> Name <br /> Street <br /> City Telephone <br /> I have read the above application and know the contents thereof; the same is true and correct. I further <br /> state that I am familiar with accepted fire protection and prevention practices as set forth in the City of <br /> Stockton Uniform Fire code, and the amendments thereof, and use of the permit being applied for will <br /> conform to these practices. ` : <br /> Applicant's � � Code: SA <br /> SignaturesJi- <br /> Inspected/Issued By: D T D <br /> Date: I n Frq�T . E._.l NS ARE I O 2 7 <br /> FIRE DEPART I _ <br /> 7 180 DAYS. L E NTION DIVISION <br /> .)I_ICANT MAY Ht=54��� IIS; A-,; ADDITIONAL CHARGE <br />