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r � <br /> oPg"IN c CHECK LIST ® DEMOLITION PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1310 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3121 <br /> l• <br /> . N PECTION REQUEST 24-HOUR RECORDER: (209) 468-3165 <br /> F0 <br /> {� Y � <br /> rermit may have exored withloul <br /> THE FOLLOWING INFORMA Bid & . .,11�1!�9T�iSUBMITTED TO DEVELOPMENT SERVICES Check- <br /> BEFORE YOUR APPLICATION CAN BE PROCESSED. off <br /> 1. One completed Application. <br /> 2. Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br /> disposition of the well and septic system must be identified prior to application approval. <br /> 3. If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris DiversijDn <br /> Plan from Public Works Solid Waste Division office at 1810 E. Hazelton Ave., Stockton,468-3066, <br /> PRIOR to obtaining your Demolition Permit. <br /> 4. Obtain Air Pollution Control District Approval on Demolition Permit Application. <br /> 5. It is the applicant's responsibility to notify P.G.& E. and have utilities disconnected. It is also the <br /> applicant's responsibility to insure P.G.&E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G.& E. at (209 942-1495 <br /> Sco e of Work: 9e-^o xaoire <br /> Project Address: 2 3�S �✓, �n� ��� �� Z <br /> DEPARTMENTS LISTED BELOW MUST GIVE_APPROVAL_ PRIOR TO ISSUING DEMOLI T iON PERMIT <br /> qLrivironmental Healthepa men pprova Signature: Date ssue <br /> f San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval.Signature <br /> AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 Enterprise Way 1868 E Hazelton Ave <br /> Modesto, CA Stockton,CA 95205 <br /> (209) 557-6400 (209)468-3420 <br /> F:\Application Forms&Handouts\Check lists\Check List Demolition Permit.doc(Revised 6-30-14) <br />