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A V. N <br /> r.' 2 SAN JOAQUIN COUNTY WHITE COPY: OFFICE <br /> + < YELLOW COPY: FIRE DEPT. <br /> FIRE PREVENTION BUREAU PINK COPY: FINANCE <br /> i�.... ... ..�*• 222 E. WEBER AVE. <br /> 7M8:)=xx2B47C2 x <br /> STOCKTON, CA 95202 <br /> X0BSG3yg% 944-2416 <br /> APPLICATION FOR PERMIT OR SPECIAL INSPECTION <br /> Application 6 Permit No. Date: June 21, 1988 <br /> Application is hereby made for a permit as required by the <br /> Bureau of Fire Prevention, Uniform Fire Code. <br /> Article (s) 79 <br /> Section (s) 79 . 114 <br /> Rule REMOVAL OF UNDERGROUND TANK <br /> Fee Reguired:$75 00 <br /> THIS permit IS TO BE USED FOR THE FOLLOWING PURPOSE(S) : <br /> REMOVAL OF 2 . 500 GAL FUEL STORAGE TANK. Disposal - WOULD <br /> ' TO 1JSE AS WATER TANK. <br /> LOCATION WHERE PERMIT IS TO BE USED: <br /> OCCUPANT: EMIL LEER PERSONAL RESIDENCE <br /> ADDRESS: 3216 CHERRYLAND, STOCKTON, CA 95205 <br /> PHONE: 931-4856 <br /> NAME OF OTHER PERSONS INVOLVED. (IDENTIFY CONTRACTOR, INSTALLER, ETC. ) <br /> NAME: <br /> ADDRESS: <br /> PHONE: <br /> I have read the above application and know the contents thereof: the same is true <br /> and correct. I further state that I am familiar with accepted fire protection and <br /> prevention practices as set forth in the San Joaquin County Uniform Fire Code, and <br /> the amendments thereof, and that the use of the permit being applied for will con- <br /> form to these practices. <br /> Applicant's <br /> Signature: <br /> INSPECTED BY: <br /> 1. <br /> 2. <br /> 3. <br /> ISSUED BY: <br /> DATE: <br /> 9/8/87 <br />