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1:1:1<0 <br /> ICATP. UP tA-UM'ANLY WAI1-1*UKM <br /> Permit Number: Assessor Parcel No. <br /> Use of Structure : <br /> Address of Structure : 17100 S. Harlan Road, Lathrop <br /> Owner : E.R. Carpenter Address : 17100 S. Harlan Road, Lathrop <br /> Contractor: Contact Phone No. : <br /> Occ. Group: Type of construction: Zoning: <br /> Sprinklered : Occ. Load : Area Separation Wall. in Lieu <br /> Square Feet :__ of Sprinkler : <br /> Before a final. inspection can he made by the Building Inspection <br /> Division and prior to issuance of a Certificate of Occupancy by the <br /> Building Official , approval signatures must be obtained from each <br /> agency listed below. It is the applicant ' s responsibility to obtain <br /> all signatures and return this form to the Building Division. Please <br /> be aware that advanced notice and field inspection time may be required <br /> by each agency prior to signature . <br /> Public Works Department : <br /> Approval Signature _ __T _ _ _ Date <br /> _HENR_Y H . HIRAA, DIRECTOR,_PUBLIC WORKS DEPARMENT <br /> by Al Blevins , Field Engineer <br /> Comments : <br /> -- - - - - - - - - - - - - - -- --- -- <br /> San Joaquin Local Health Dist t: <br /> Approval Signature �.( _ Date %2 3- 0p <br /> (p <br /> C. LEL HALL, DI R) TOR <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Comments : No waste water from boiler to be discharged onto the ground <br /> witTout approval anc7 permitom�ie �tateWater esourceontro <br /> o—a---- ---- --- <br /> San Joaquin County Fire Warden or City of Stockton Fire Department: <br /> Approval Signature_ _ Date <br /> STEVE THIENES <br /> COUNTY FIRE WARDEN <br /> Approval Signature Date <br /> APPLICABLE FIRE CHIE1: AND FIRE DISTRICT) <br /> Comments : <br /> ( 11/85 ) <br /> --- ---------- - ---- ------------------- <br /> r <br />