Laserfiche WebLink
ate. -•�• .� ...,-. ;.,. <br /> AUTHORIZATION FOR' APPLICATION FOR PERMITS} ; <br /> BY OTHER THAN OWNER OR LICENSED CONTRACTOR <br /> TO: San Joaquin County <br /> Department of Planning and <br /> Building Inspection <br /> 1810 E. Hazelton Avenue <br /> Stockton, CA 95205 <br /> 4 Phone ( 209) 944-3701 <br /> I. as the owner of the property, understand or .have. been <br /> informed that' the application for a Building, Plumbing and/.or <br /> Electrical Permit must be signed by the owner of the- <br /> property, his duly authorized agent or a licensed contractor. <br /> I am also aware that I may designate a third party, such as a <br /> tenant or person in my employ, to sign the application for a <br /> permit on my behalf. I understand that that person's only <br /> responsibility or function is to acquire a permit on my <br /> behalf. <br /> I am aware that the responsibility for the construction and <br /> compliance to codes and ordinances is entirely mine and I <br /> agree to accept the same. <br /> Therefore, as the owner of the property located at as j <br /> Stockton, CA <br /> (address <br /> I do hereby. authorize <br /> name <br /> to obtain a ,Ye. ~rr coil -If-C /1,0 •, in my name by affixing <br /> type of permit <br /> my name followed by his or her signature on the application <br /> for Seco e <br /> t- <br /> type of permit <br /> OWNER 'S SIGNATURE � <br /> OWNER' S ADDRESS q7oLo <br /> OWNER'S PHONE NUMBERC��C� �'��{-,Z S��dZ DATE 5 3 <br /> I <br /> 3 <br />