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SAN JOAQUIN COUNTY <br /> FIRE PREVENTION BUREAU <br /> I , <br /> 222 E . WEBER AVE . ROOM 67B <br /> ST'OCKTON CA. 95202 <br /> (209 ) 944-2414 <br /> APPLICATION FOR PERMIT <br /> Permit No. —__ Application Date: 05-02-89 <br /> Application is hereby made for a PERMIT as required by the San Joaquin County <br /> Bureau of t'i.re Prevention and the Uniform Fire Code. <br /> Article. 79 <br /> Article/Section. 79. 114 <br /> Rule . REMOVE , ABANDON , PLACE TEMPORARILY OUT OF SERVICE OR OTHERWISE <br /> DISPOSE OF ANY FLAMMABLE OR COMBUSTIBLE LIQUID TANK <br /> Fee Required. $75.00 Fee Paid: YES: NO <br /> This PERMIT , is to be used for the following purpose(s ) . <br /> one..550.__gallon_ste k rmd rground <br /> Name and location where permitwill be used. <br /> business Name : <br /> Owners Last Name: Pyburn First : Wayne <br /> Address: 20851 S. Sutliff Rd. City: Esealon zip :95320 <br /> Phone: Contact Person: <br /> Name of other persons involved. Contractor( ) Installer( ) other( ) _ <br /> Last Name: Stockton Service Station EQ.CO. INC. First: 95201 <br /> Address: P.O. Bob 508 City :Stockton zip: <br /> 95201 <br /> Contact Person: Mike Flores <br /> I have read the above application and know the contents thereof ; the same is <br /> true arid correct , l further state that I am familiar with accepted fire <br /> protection and prevention practices as set forth in the San Joaquin County <br /> Uniform Fire Code, arid the ammendments thereof , and tl t the use of the permit <br /> being applied for will conform to these practic s - --� <br /> Applicant 's <br /> Signature <br /> Inspected By. <br /> Issued By. <br /> Date Issued. <br /> ROUTING Expiration Date. <br /> ( ) Finance <br /> ( ) Fire Department: <br /> ( ) Deputy Fire Marshal <br /> ( ) File <br /> FORM AP 05-20- <br />