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w _ <br /> 7P A. r <br /> f <br /> CITY OF STOCKTON \ <br /> FIRE DEFARTI�ENT <br /> FIRE PREVENTION EUREAU <br /> CITY HALL <br /> 944-8271 <br /> giPLLICATION FOR PERMIT n {� <br /> DATE: <br /> ; .. APPLICATION u PERMIT NO. <br /> hereby made a p <br /> e=i t a� required by the Stockton Municipal Fire <br /> Application is <br /> Code, Articles) <br /> Section(s)— <br /> I ` THIS PERMIT IS TO BE USED FOR THE FOLLOWING PURPOSE(S): ` <br /> S 4 <br /> E <br /> ` T IS TO BE USED• s <br /> s , LOCATIOI3 4TIiERE P�- <br /> OCCUPANT: <br /> !' 'p.DDRESS' <br /> PHONE: <br /> TFY CONTRACTOR, INSTALLER, ETC.) <br /> s <br /> NAME OF OTHI R P RSONS INVOLVED. <br /> �.: NAME: 1--- <br /> ��� <br /> ADDRESS: <br /> PHONE: <br /> m <br /> i <br /> Iicati and know eche contents thereof: th roteetion�and pYes tl-ue and ' <br /> I have read the above app ted fixe p <br /> and the i <br /> of Stockton.Uniform Fire Code, a� 4 <br /> correct. I further state that I stn familiar with accepted applied for wil} �anform to <br /> ventior_ practices as set forth in the Citha permit being pp ; <br /> amendments thereof, and that the use of <br /> these prat':"ces <br /> pplicar_t`s <br /> Signe,ture: (, <br /> �rc•=YAG. L'�.-/� ��lt"; �.._TF��i.+'�'.R'"'� �V c/ ✓„ tom' "Z <br /> ISSUED <br /> .... ..... <br /> LJ <br /> Revised <br /> rv��r- NIR <br />