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i <br /> ss e� <br /> Bureau of Fire Prevention <br /> 835 Central Avenut <br /> Tracy, Califomia 9537( <br /> Pi;rePermit/ServiceApplication 209-831-670; <br /> fax 209-831-670" <br /> Complete application,make check payable to City of Tracy <br /> and return application and payment to Fare Prevention <br /> PERZ4I)(I FZ=e�far <br /> ACCOUNT <br /> :NUNMER <br /> Fire Permit $9erpermit 211�522g0�R371 <br /> (meat requirepermit) <br /> Pre-Inspection Care Facility$50(e25) $100(>26) 211-4572405-R375 <br /> Annual Daycotre$Wi 14) 211.4522-405-8375 <br /> Inspection/Pre $125(>14) <br /> Inspection Fees for <br /> Day Care Facilities (daycares with more than a <br /> children-rerptire approval from <br /> Planning Department) - <br /> 1. Pennit/Serivice Information: <br /> Business Name <br /> 'q-14 —7)-Lc , <br /> Address <br /> City/State/ ���dl Z;p 7 ✓��7� <br /> Phones '"(�yh vZ 7 Y Fax - <br /> Description of Service Recluired re,,Reca <br /> Dates of Service <br /> Applicarves SignatureFDate �7 <br /> Fire Prevention Fire Permit Application <br /> Sidel of <br />