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City of Stockton <br /> Fire Prevention Division <br /> "D 345 North EI Dorado Street <br /> Stockton, CA 95202 <br /> (209) 937-8271 <br /> FIRE PERMIT AND SPECIAL INSPECTION APPLICATION <br /> City County O II � <br /> Permit No. ��- �� Date `-t <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Art✓Sec(s) _Permit(s) -� L Fee(s) <br /> ,j <br /> Comments: ��i� 1 fi t L�rr)iG Total Fee. <br /> Business Name <br /> Address I 1�01 l Ste. Zip <br /> Telephone _ <br /> Contact Person Telephone <br /> /Contractor —7lY'i -)-7' �oc )3c x )1 <br /> Address-' <br /> City/Zip t�� .t ( Telephone ( ) <br /> I have read the above application and know the contents thereof; the same is true and correct. I further state that <br /> I am familiar with accepted fire protection and prevention practices as set forth in the City of Stockton Uniform Fire <br /> Code, and the amendments the and, e of tthe ermit being applied for will conform to these practices. <br /> Applicant's Signature: it i`� Ck# Amt. <br /> Inspected/Issued. y: i Code: 54(city) R6 O (county) <br /> Date Issued: <br /> ODMA\GRPW ISE\COS.FD.FD_Li bmry:3995.1 <br /> White: FPD File Goldenrod: Finance Yellow: FPD Deposits Pink: Customer <br />