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y of Stockton 3 U. <br /> erre Prevention Division <br /> nra 45 North El Dorado Street <br /> tackton, CA 95202 <br /> eH .:PERMIT'AND SPECIAL INSPECTION APPLICATION <br /> City County ❑ -y j� <br /> Permit No. U G d Date-I Z- (Jr'lV <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Art./Sec(s) Permit(s) Fees) <br /> Comments: Tota/Fee: 'It <br /> Btu ,. .,.'�� <br /> grysuUss Name LAI - <br /> Address OCJ'r` 6'5 , C,-"Z '4 '3'"-; Pt.- . t- e Ste. '" Zip ' 51 4 S <br /> Telephone 3+? 'sA b <br /> Contact Person s-1f> �iMA-r-41sc+-j Telephone <br /> Billing I� S ` civ N <br /> �, TelephoneCity <br /> /ZiY1 r , Lhave read the above application and know the.contents'thereof, the sama is,trua and correct. I further state that <br /> I am familiar with accepted fire protection and prevention practices as set forth in the City of Stockton Uniform Fire <br /> Code, and the amendments thereof, and use.of the permit being applied for will conform to these practices. <br /> Code- SA C <br /> f . STI <br /> ODApplicant's Signature: �� <br /> t 1 �!� <br /> 6V <br /> Inspected/Issued by: %P 2 2000 <br /> Date Issued: <br /> T:\FIflEPREV\FDRMs\PERMITS.wPD - FIRE PREVENTION DIVISION <br /> , <br /> White: File Yellow: Fire Co. ry Goldenrod: Check Green: FPD Pink: Customer <br />