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MOJWLEOV RURAL FXRE DISTRICT' <br />13 57 East Brandt Road / P.O. Box 13571 Lockeford, Ca. 95237 <br />(209) 727-0564 Fax (209) 727-0863 <br />Directors: Bernie Kettler,LeRoy Mettler,Mike Young,Gersh RoBen,Russ Fought <br />Operations Captain Peeples <br />APPLICATION FOR PERMIT <br />Permit N er:97-0001 Application Date:01/,9/97 <br />Application is hereby made for a PERMIT as required by the Uniform Fire <br />Code. No a tivity requiring a permit may commence until the premises are <br />inspected � d the permit is issued. FAILURE TO OBTAIN A REQUIRED ERMIT IS <br />A MISD OR. <br />Article 7 <br />Article 7 .115 <br />Rule: RFF10 ABANDON, PLACE TEMPORARILY OUT OF SERVICE OR OTHERWISE <br />DISPOSE OF ANY FLAMMABLE OR COMBUSTIBLE LIQUID TANK. <br />FEE REQUIRED: None FEE PAID: YES: NO! X <br />This PERMIT, is to be used for the following purpose(s). <br />REMOVAL OF (1) 1000 GALLON GASOLINE TANK <br />NAME AND LOCATION WHERE PERMIT WILL BE USED <br />Owners Last Name: Hogge First: Frank <br />Address:l 889 E. Locke Rd. City:Lockeford Zip: 95237 <br />Phone:(20 ) 727-5006 Contact Person:Frank Hogge <br />Name of other persons involved: Contractor (X) Installer ( ) Other ( ) <br />Name: Jim Thorpe Oil, Inc. <br />Address:3 1 N. Beckman Rd. City:Lodi Zip -.95240 <br />Phone:(20 ) 368-6175 Contact Person:Martin Thorpe <br />I have read the above application. I further state that I am familiar with <br />the requirements of the MOKELUMNE RURAL FIRE DISTRICT CODE and that the use <br />of the pe t being applied for will conform to the requirements'. <br />Fire Offi ial Applicant's <br />signature Signatur <br />Title Title <br />ROUT NG <br />( ) <br />Finaice <br />( ) Fire Prevention <br />( ) File <br />