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• • <br /> CITY OF STOCXTON <br /> FIRE PREVENTION DIVISION <br /> Telephone: (209) 944-8271 <br /> APPLICATION FOR PERMIT SPECIAL INSPECTION OR PLAN. APPROVAL <br /> Application & Permit No. / -3(' 23 Date: <br /> Application is hereby made for a permit/special inspection/plan <br /> approval as required by the Stockton Municipal Fire Code, <br /> Article(g) �. <br /> Sedt16n(A) <br /> Fee(g) Required.,.... ra!UU <br /> This permit/special inspection/plan approval is to be used for the <br /> following purpose(`) <br /> Location: <br /> occupant !_jQi7lrrJ.. 2Zut%G6L : .. .. <br /> street /_ <br /> Zip Code . Telephejn@ <br /> Names of Additional Parties Ihvolved (Cohtradtor/ hstaller, Etc. ) s t' <br /> Name / Z x is <br /> Strtat city k .<s <br /> Z ip Cede ('._ >melephtsne t <br /> I have read the ab6V@ Application dnd know 'the d6htentt thntn6f; the <br /> sake is true and 06r"ct. I further. state °thatV , am f Miiiar with <br /> accepted fire protection and prevention practidel9 "� <br /> ':As. et forth 1h the ": <br /> city of Stockton Uniform Fire Cade, and thA AlMohdm2nts thereof, and <br /> use of the permit being applied far will bohfesrm to thb§i bractices. <br /> Applicants (7pC • i <br /> Signature <br /> n <br /> Inspected by: <br /> Z 00 <br /> Issued by: da'a <br /> Date: code: . 5A... <br /> "FIRE DEPARP,1ENT Pr BAIT ,APPI. (CATIONS ARE Q ',� •�1� <br /> I` _ PA <br /> - 218,�p�,�•. <br /> TO DAYS. I ' ,L1\ i IJ1'i 1( d i /1RT Vt <br /> APPLICANT MAY NESNLr IN hil ADDI FINAL CHARD <br />