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amity of Stockton <br />Fire Prevention Division <br />345 NorthE/ Dorado Street <br />Stockton, CA 95202` <br />(209) 937-6271 <br />City county ❑ <br />Permit No.0 Z <br />Application is hereby made for a perm"pecial inspection asftegi <br />Art./Sec(s) Permits) <br />TION APPLICATION' <br />Date <br />:d by a Stockton Municipal Code: <br />-- .r a.n»ti=:,acs „t.p4,_rR00.r 9ias>ze.:,ti�i_US 200r00 <br />Comments: <br />TotalFee: 2 00<. 00 <br />d <br />-)Ousines3 Name A. Taichert 4 son, :Ne. <br />Address 103 worth E Street Stockton Ste. CA Zip 95205 <br />Telephone 916-386-3716 <br />Contact Person George Takemori Telephone 916-386-3716 <br />Y r Savidge Construction 530-622-1982 <br />..:_ .. Tu+.S-�-w.+L-,..:::�_.a.':wi1.-.[.�'tiw,...r�'i'•C .�.1^.... {._.` _„ _,: u_..: AS' a'..t _e v' a, r-: _ --fir..::.. <br />City2ip IP.O. Boz 15902 Sacramento# CA 95#51 Telephone (916)386-3716 <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 />A_ -+ Applicant's Signature: .< Lyl 'i' Code: 5ACk# !✓ - ' <br />Inspectedllssued by:! i <br />Date Issued: _ I nrT �i �fYY1' � � i' <br />Yellow: Fire Cd: <br />A <br />