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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 /> Phone ( 209) 468--3123 <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 conttA-6to.r.. <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 <br /> BB4 Stokes , Stockton, CA <br /> (address ) <br /> I do hereby authorize Douq Gourd. <br /> name <br /> to obtain a sewer permit in my name by affixing <br /> ( type of permit <br /> my name followed by his or her signature on the application <br /> for sewer permit <br /> type of permit <br /> OWNER ' S SIGNATURE_. _----- <br /> f <br /> M <br /> OWNER' S ADDRESS 744 E . Weber Ave <br /> OWNER ' S PHONE NUMBER DA'Z'E _ <br /> Y _ <br />