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IRE DEPARTMENT CITY OF S OCKTON <br /> FIRE PREVENTION BUREAU <br /> CITY HALL <br /> 944-8271 <br /> APPLICATION FOR PERMIT N., <br /> APPLICATION & PERMIT NO._ 1f0o6 DATE <br /> Application is hereby made for a permit as required by the Stockton Municipal Fire <br /> Code , Articles ) / <br /> /17 <br /> Section(s ) , / <br /> THIS PERMIT IS TO BE USED YOR THE FOLLOWING PURPOSE(S) <br /> 14-11) <br /> LOCATION WHERE PPMIT IS TO BE USED <br /> OCCUPANT v <br /> DRESS <br /> �x nNE <br /> NAME OF O' H PERSONS INVO VED. (IDENTIFY CONTRACTOR, INSTALLER, ETC. ) <br /> NAME // Z Z ELCt,c,d <br /> ADDRESS , <br /> PHONE _ <br /> I have read the above application and know the contents P o tens thereof the same is true and <br /> correct I further state that I am familiar with accepted fire protection and pre- <br /> vention practices as set forth In the City of Stockton Uniform Fire Code, and the <br /> amendments thereof, and that the use of the permit being applied for will conform to <br /> these practices . <br />' Applicant's <br /> Signature <br /> ISSUED BYCINSPECTED BY <br /> DATE 1. f <br /> 2 <br /> 3 ,�,Iw erLm Z <br />' F.D 5 <br /> Revised 4/23/68 f d-2 15 <br />