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NOV/30/2007/FRI X74.31 P P. 001/001 <br /> Stockton fire Department•Fire Prevention MvIlsion <br /> 345 N.EI Dorado Straet,;S.tockton,CA 96202 <br /> _ (209)937-8271 a Fak(209)937-7087 <br /> —, IaIRI~PERMIT AND SPECIAL INSPECTION APPLICATION <br /> i�;; ' ,.;d a y F Aeolicallon l8 hemblif madefora erm�f s 1s eclafr'na ac!!on as re irad b !t6 Stockton!unci of Code. <br /> MPLETE <br /> ALL <br /> TION APPLICANTS CTHIS SEC <br /> Application Dana: ��~ 3.�� Q � Business Location: Ctly;g County El. <br /> Descrfhe Type of Business1ServfG�a- t4 �,�" qt-3 0 it—, <br /> t3um <br /> sincaz NaeTAFb .ASS,54;�C.4k Elp-inea9 Owne <br /> REQUIRED fif appllcabfe); Stockton Business license 9 � Expiration Date_ <br /> i <br /> Bu9tness Address E e _Zip 91 <br /> Business Telephone "'> ontact Person <br /> Type of Permit(a)Applying for,if known <br /> ALL APPLICANTS-PLACE A CHECK NEXT Tb ALL THAT AP LY,OR COULD APPLY: <br /> Piece of Meambly-sea below# Ccmbedbts Materials Storage more sol Produt <br /> than 2 500 catrk R.. <br /> ArTIOds,WWWS,heGsto s Alrcrall reftielbg vehldes u?, am Pleats <br /> " RupalrOwage MatorvehldeAdarina Bpetls9ng ants,campies <br /> •�_ ' atauons <br /> a,,,1 CaIhrloss nitrate Mm Aqto wreckingy'i;= cieanfn <br /> r' Applkmdon of Flammable Anlshes Fraltripeninliproom ' awlum-meit,cast,heal,heator <br /> k Commaraal nibblsh hiandlin ti.: nd <br /> Hn arks wain orwetdin Mantdwfbreofo tcoatln snductcrf8hricsaan <br /> Indu6bial talon 4 n otrene blerhatucd efakmi o tossed aces I <br /> C onfofhkds = Oust do rellons ema6erinls <br /> Pyrotechnic mawrldl•Proworks Flamnabiefoombuetlbla liquid storage f Wagon of abovefbelow ground fuel I <br /> lire salsa cr s3ornge mon than.,00 galmn we tanks <br /> IS>tf Than 1001 20CM a <br /> EldlliglopenafEon of natural gas or Palletmanufaotudrig or use or storage AboveAelow ground fual_tank removal <br /> Oil walls two or more ; <br /> Hazardous materials Hlgh piled combusllhfe storage ltiqueaed pe olaum gas smrage <br /> sq.it '_ more than 125 gallons <br /> f., Batts Systefns [3 5U1•12 D00 n C312,{01 or more sq.tt 125 gallons or Pass <br /> NONE OF THE ABOVE Apt>LY • 1_j066 404- <br /> A_ <br /> I~t A_ rI- <br /> APPLICANT <br /> TO COMPLETE THIS PORTION <br /> ONLY IF APPLYING FOR A PLACE OF ASsr_ma�y Pr--RMIT <br /> ❑for ProfrC Assembly Area Occupancy Load: ❑50-999 D oter 1,000 i <br /> Small Non-Profit Non-Profit ID Nt4mbor: _ <br /> Assembly Atea.Square Footage; <br /> ALL APPLICANTS READ AND SIGN <br /> ALL INFORMATION IS SUBJECT TO VERIFICATION <br /> I have read the atiove application and know the cententa thereof,the same is true ants correct I acknowledge <br /> that We Cry Of Stdaktoh has adiVmd the Ftde,and they amandtnonts thereof, and use of the permit being <br /> 2ppNed far yhf1 conf&m to accepted n id <br /> AP PLICANT SIGNATURE DATE Q� <br /> • v r I c re E. ONLY ' <br /> PFJ76i17 ' na Ntrtual <br /> NUMBER PFRMIT TYPE I limo Renewal FEE <br /> P M Roolred <br /> /_ en, r i : <br /> ° I <br /> Total Fee <br /> Issued by: Check " <br /> __.... . Pay Code; 5A$_ ` x / <br /> Data Issued: <br /> Rt3$ <br /> .. <br />