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0 <br />0 <br />City of Stockton <br />Fire Prevention Division <br />345 North E-3 Dorado Street <br />Stockton, CA 95202 <br />(209) 937-8271 <br />'FIRE PERMIT AND SPECIAL INSPECTION APPLICATION <br />C;ty t County o <br />Permit Na, <br />o a' Date <br />Application is hereby made for a permit/spacial inspection as required by the Stockton Municipal Code: <br />Art./Sec(s) Permit(s) Fee(s) <br />Comments: <br />ILI <br />Business Name <br />Address <br />Telephone <br />Contact Person <br />Busi ir/Contractor . <br />Address <br />D' <br />' G <br />C itylZip l <br />Total Fee:_lea0A <br />Lip _ <br />%47 _2J r state that I <br />I have -read the above application and knam the,contents thereof; the WS true and correct. I iur uniform Fire <br />am familiar with accepted fire. protection amd prevention practices as set forth in the City ractices.. <br />Code, and the amendments thereof,and the permit being applied for will confeOLEr <br />mt <br />Gk# . 11490 <br />vt� a . y = A <br />,eApplicant`s Signature: t _ - <br />R6 ❑ (County} <br />Inspectedlissued by: <br />Code: . 5,A city} <br />Date issued: <br />t !1 <br />::oUMW1CsRPVYlSE1COs.F4.Fa Library:3995.1 , FAUG 2 O P jl <br />White: FPD File Goldenrod: Finance <br />Sita --1 <br />N DIVISION <br />Pink: customer <br />