Laserfiche WebLink
1 <br /> ' City of Stockton <br /> Fire Prevention Division <br /> 345 North El Dorado Street <br /> ' <br /> ZE <br /> � Stockton, CA 95202 <br /> li0 (209) 93 7-82 71 <br /> 3AV ES <br /> PERMIT AND SPECIAL INSPECTION APPLICATION <br /> l- city {11� County ❑ <br /> Permit No. `} Date r l <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Art./Sec(s) Permit(s) Fee(s) <br /> �f ' <br /> Comments: Total Fee: I <br /> Business Name <br /> Address w� j -' � �,� ' �` (, Ste. Zips f <br /> Telephone , <br /> { <br /> Contact Person _ �1 ;'� . N Telephone { "�_�.L�__ <br /> Business Owner <br /> Billing Address ! ' <br /> city/zip� _ "� 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 /> Coder and the amendments thereof, and use of the,permit being applied for will conform to these practices. <br /> Z4 F7 <br /> Applicant's Signature: „ .# -- -- Code: .5A Ck# <br /> IJ <br /> Inspected/Issued by: <br /> Date Issued: 6 20 <br /> T:IFIREPREVIFORM SIPERM ITS.W PO <br /> FIRE PREVENTION DIVJSIO�'; <br /> White: File Yellow: Fire Co. Goldenrod: CheckGreen: FPD'-', •- Pink: Customer <br />