Laserfiche WebLink
CT I'Y 01 S'IXXXI ON <br /> f <br /> AX, DEPARTMENT WHITE COPY OFFICE <br /> 1 FIRE PREViNT'ION BIJRFAIJ YELLOW COPY • FIRE CO. <br /> 1 PINK COPY FINANCE <br /> CITY HALL <br />' 944-8271 <br /> APPLICATION FOR PERMIT SPECIAL INSPECTION OR PLAN APPROVAL <br /> 1 Application & Permit No. Date: <br /> Application is hereby made for a as required by the <br /> Stockton N'Iunicipal Fire Code, <br /> Article (s) 7 <br /> Section (s) 11 <br /> j Tole Fee Re i-i—irpri4 <br /> Fee Schedule <br /> THIS ,J1 -tA f IS TO BE USED FOR TI1E FOLLOWING PURPOSE(S) <br /> ao <br /> ' OCATION WHERE IS TO BE USED- <br /> ' 'CUPANT <br /> ADDRESS <br /> PHONE <br /> NME OF OTHER PERSONS INVOLVED. (IDENTIFY CONTRACTOR, INSTALLER, ETC.) <br /> NAME <br />' ADDRESS 2-19 <br /> PHONE <br /> I have read the above application and know the contents thereof the same is true .unci <br /> correct. I further state that I am familiar with accepted fire protection and' and the amendproven <br /> practices ractices as set forth in the City of Stockton Uniform r1re Code , <br /> ments thereof, and that the use of the permit being applied for will conform to thc,,c <br /> 1 practices <br /> Applicant's <br /> Signature <br /> FINANCE DEPT INSPECTED <br /> Pis collect from 1. 7 7 <br /> 3dress 2. <br />' a sum o dollars _Q 0o 3. <br /> 11 <br /> fnance Dept. By <br /> Date ISSUED BY <br /> 12 <br /> F D 5 fd-985 DATE <br /> Reprised 5/22/74 <br />