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r <br /> City of Stockton <br /> Fire Prevention Division <br /> m3 345 North El Dorado Street <br /> Stockton, CA 95202 <br /> /209/ 937-8271 <br /> PERMIT AND SPECIAL INSPECTION APPLICATION <br /> �y� J � city @ county ❑ <br /> Permit No. %7 -�.3tG Date P./& Aq <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Art./Sec(s) Permit(s) Feels) <br /> Comments: � U/� C JQ%11�i ��CL� Tota/Fee: <br /> Business Name <br /> Address Z P Ste. Zipv <br /> Telephone <br /> Contact Person Telephone �7-/��� <br /> Business Ownerdzg-)) / Jioel- <br /> Billing Addre 'y i U2 � // <br /> City/Zip . O�C6 �52/?.S Telepho e ( 1 y�G17-/4-Z <br /> I have read the above application and know the contents thereof; the same is true 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 /> Applicant's Signature: l� �Gf � Code: 5A Ck# �Z J C. <br /> Oa <br /> Inspected/Issued by: D Q Q <br /> Date Issued: <br /> TAFIREPRMFORMWERMITS.WPO AUG 61999 <br /> FIRE PREVENTION DIVISION <br /> White: File Yellow: Fire Co. Goldenrod: Check Green: FPD <br />