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v <br />on <br />SAN JOAQUIN COUNTY <br />FIRE PREVENTION BUREAU <br />1810 E. HAZELTON <br />STOCKTON, CA 95202 <br />468-3165 <br />.90, <br />WHITE COPY:, OFFICE <br />YELLOW COPT: FIRE DEPT. <br />PINK.COPY: FINANCE <br />APPLICATION FOR PERMIT OR SPECIAL INSPECTION <br />Application 6 Permit No. <br />Date: July 29 1988 <br />Application is hereby made for a—nprmit as required by the <br />Bureau of Fire Prevention, Uniform Fire Code. <br />Article (s) 79 <br />Section (s) <br />Rule <br />THISt <br />IS TO BE USED FOR THE FOLLOWING PURPOSE(S): <br />LOCATION WHERE p . MTT IS TO BE USED: <br />OCCUPANT: SFrn <br />ADDRESS:��7� <br />PHONE:_ 9R9_ <br />NAME OF OTHER PERSONS INVOLVED. (IDENTIFY CONTRACTOR, INSTALLER, <br />ETC.) <br />NAME: <br />ADDRESS: <br />PHONE: <br />I have read the above application and know the contents thereof: the same is true <br />and correct. I further state that I am familiar with accepted fire protection and <br />prevention practices as set forth in the San Joaquin County Uniform Fire Code, and <br />the amendments thereof, and that the use of the permit being applied for will con- <br />form to these practices. <br />9/8/87 <br />Applicant's <br />Signature-: <br />i <br />INSPECTED BY: <br />1. <br />2. <br />3. <br />ISSUED BY: <br />DATE: <br />t_. <br />