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City of Stockton <br /> Fire Prevention Division <br /> 345 North E/Dorado Street <br /> Stockton, CA 95202 <br /> (209) 937-8271 <br /> PERMIT AND SPECIAL INSPECTION APPLICATION <br /> City County ❑ <br /> Permit No. 9q- 33 Date <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Art./Sec(s) Permit(s) Fee(s) <br /> 7901.F Removal of Under round Tank(e) 2 x $200 <br /> C�9-I � zt.S2-• � 6 <br /> Comments: TO Fee: $4 u 0 <br /> TLnks C-11 north and Routh will be rerrnved •/{ �E c 7 . a:�. <br /> 2" <br /> 00fl n =set tank _ <br /> 7 <br /> JOB LOCATIONa - <br /> Business Name A. Tesichort i Son, Inc. <br /> Address 103 North E Street Ste. Zip 95205 <br /> Telephone 209-946-8580 <br /> Contact Person Geurge Takemori Telephone 916-386-6916 <br /> CONTRACTOR INFO: <br /> & §ftYx1#ffl4W A. Taichert G Son, Ihc. <br /> Billing Address F.O. Box 15002 <br /> City/Zip Sacramento 95852 Telephone ( 9161 386-6916 <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: Code: 5A Ck# r 7 <br /> D Gl p = 441 <br /> Inspected/Issued by: <br /> Date Issued: FEB 2 2 W <br /> T:\F1REPREV\F0RMS\PERM1TS.WPD <br /> EIRE PREVENTION DIVISION <br /> White: File Yellow: Fire Co. Goldenrod: Check Green: FPD Pink: Customer <br />