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FEB 27 2002 3:OOPM <br />F'IiR�E <br />HR LRSERJET 3200 <br />City of Stockton <br />Fire Prevention Division <br />345 North EI Dorado Street <br />Stockton, CA 95202 <br />(209) 937-8271 <br />FIRE PERMIT AND SPECIAL INSPECTION APPLICATION <br />Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br />Date /' a 9 County Contract Area Q <br />Permit No. Permit Type Fee <br />"-Fdrn al <br />ve , <br />rr <br />Comments: Z J n 1 Total Feer <br />Business Name <br />Address -Z1 ck Ste. ZiPl;;Ir.'$ <br />Telephone 2�-( l�L "' -�/�1`fC> <br />Contact Person s ��n i ;y Telephone d C`)9 <br />Business <br />Telephone <br />I have read the above appbicatio and know the contents thereof; the same Istrus and correct I further state that I <br />am familiar with accepted fire otection and prevention practices asset forth In the City of Stockton Uniform Fire <br />Code, and the ame " en� th of, and use of Etie'per[nit being applied for will conform to these practices. <br />.Applicant's SignatlQ a Ck# 6,;—? 2 <br />a c/=S�a� <br />Inspected/Issued by: L 1"4, ✓ ( Fpay Code: 5A $ &5(0' <br />Date Issued: r-= 6 % VAW <br />.3995.1 R6 $ <br />White FPD File Yellow. Customer <br />