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{� T <br /> FINAL DATE.- . 1 O 7�5 3 y <br /> APPLICATION FOR PERMIT INSPECTOR G-e Th.s N+.mber when <br /> C�11�73 for InspeR�on �f <br /> SAN JOAQUIN COUNTY BUILDING INSPECTION DEPT, CALL 2a HOURS IN ADVANCE <br /> 16LT L HAZELTON AVE. STOC_ TL)f¢ LA6FOW,IA y,2;; Pflr <br /> . �:1F. -2u!Il3.i.i_,1:,I <br /> Applicant ._ _._. �-- � �! / �` <br /> Date Ensued 19 <br /> 4ez._ 2 t <br /> Job Location Date19,7_7_ _—_. _ - _ f (,r � � .,. -. - � <br /> Legal Description_-..._ - <br /> Owner -- <br /> ADDRESS <br /> PHONE-~..'--- - <br /> Const. Lender- _ _ NONE oR ❑ <br /> SCOPE OF WORK REQ Sr STATE OF CALIF C C n $W93 _ Uf1KNO'*N <br /> BUILDING <br /> Penult Fee $ <br /> Plan Check $ . <br /> By <br /> � j ✓� Y �G� <br /> Accepted ByS.M.I.P. <br /> _.__.. Approved Bylah-x/..�'7,. Micro f-Irr, <br /> $ <br /> Remarks_ <br /> S S• MOBILEHOME INSTALLATION $ <br /> PLUMBING <br /> __eF Flxtiues ../GD S DW $ <br /> _. — ----•- 3 �' Water Heater — <br /> Size .__. JL V 5 '71? J Const. Val ._ _"_' Water Line <br /> • Gas Piping _ <br /> Occupancy__ ---._.___Type Const.___—_.— _.. Sewer Water Conn. <br /> Planning Dept---- 141- ----_ .__Zone Iz &5, — <br /> Ref No. <br /> PW Dept: Encr. D;ain/Flood Control MECHAAL <br /> SJLHD FIRE k STATE Comb. Unit <br /> Furnace'A C. <br /> Main. Dist._ Range Dryer <br /> _ <br /> Hood'Fan.,Vent <br /> a fq Plm - ... ^-T —_ -- -- - <br /> a C—on _ Gus Piping _ <br /> Wch Cr,r.tr _— <br /> Elect Cnnir <br /> PLEASE CHECK IF APPLICABLE: ELECTRICAL <br /> -.- <br /> — I am the owner of the Property. I will Fluor Flood <br /> _ fnndescent _ <br /> _ —_do the work myself or through my employees 77T'rfaf Outlets <br /> who work fc:wages OR _ ,Motors P _ <br /> ..I am contracting with a licensed Contractor. Am ervice <br /> _1 am an Employee with wages as my sole Compensation. Ran a Oven _. <br /> PERMIT VOID IF WORK NOT STARTED IN 90 DAYS - - 2_Iyl Wtr. Htr — <br /> I hereby acknowledge that i have read this application and Tefn Pole .. Yes .. No <br /> state that the content is correct and agree to comply with all --- <br /> county ordinances and state laws regulating building construc- <br /> tion, plumbing, mecha 'call nall elect 'cal installations. <br /> Sub-Total 5 <br /> Sr neo--- -- Plan Check $� $ <br /> Lrtho 'zed Agen n <br /> Contractor Recei t No.._ �' �� <br /> L+c.Class FrNumter p — TOTAL FEES $ <br />