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SAN JOAQUI*-e JNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E. HAZELTON AVE., STOCKTON, CA 8820&8232 <br />PHONE: 208/488.3121 FAX: 209/488-3183 <br />FIRE PREVENTION APPLICATION <br />PROJECT NAME i� F1-t�c, (` o Mme , (- �-C- (example: Costco) <br />1. Jobsite Address Q,531t [:]Commercial ® Residential <br />Assessor's Parcel Number (APN) 7y j I C, zLi <br />Project Description (alarm/sprinkler/ansul) Tuyoyc (2) � s <br />Project Valuation of alarm(sprinkler/hood system <br />3. Permit Class: ❑ New ❑Addition []Tenant Improvement (T.I.) ❑ Remodel <br />Permit Type: ❑ Fire Alarm ❑ Fire Sprinkler <br />4. Property/Parcel Owner 0,I (W ICi4r C61e <br />Mailing Address 2-711 Q 4961—til tlQU( <br />City i l_ -j --- <br />Phone <br />5. Architect/Engineer <br />Address <br />City <br />Phone <br />6. Contractor's Name Y`tl- i ( <br />❑ Hood/Duct 0 Other <br />L �- C: . <br />State _ ! X Zip <br />Fax <br />State <br />Zip <br />Address L3�i5.�r Sl'GtC�E-�f' -AVC . Workers Comp Yes ❑ No <br />City i` State �A Zip <br />iY1, (Ul r� <br />Phone l�C�f)C-�3 (;.�J� Fax(,? <br />''C <br />Contractor License No: lF `7 ( L' ( Types: tip 21 Exp. Date: <br />City Business License No. (required): y' t Exp. Date: (y':'�t; ��L L•�i <br />7. Contact Name: ( Plan review & i <br />requests) •- IL) I:) I yr1Ci-1 �ell `�`c 6c.s 35`17 <br />Mailing Address ���! � � I-CX'00l ;r ,-tvc <br />City Iy �lC t1 State <br />Phone (2 Fax <br />It <br />Email: 1�Vt1C t<G-;iL` c: (1#CINy f i,litpiCn(( ti <br />APPLICANT SIGNATURE <br />(A licensed Fire Protection Eng! <br />ABUILDINGWANDOUTSTIre Prevention Application.doc (Revised 11-19-07) <br />ir-1 zip <br />C2 R <br />DATE <br />shall wet sign all plans. ) <br />