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r-1NA1---4N5Ph(;11UN APPRQVALS <br /> (9CITY OF LODI - Building Lection Division - 221 West Pine S�treetlil Box 3006 - Lodi, CA 95241-1910;`. <br /> Print Date5,�15/9t Const, Application Number 3365 <br /> Const. Application.Date' <br /> Project Address 820 S Cl1EROKEE Lit : <br /> j Bldg. # I Suite # <br /> Project Description REMOVE UNDERGRND FUEL. TMKS(4)-2ND PERM 047 - 420 0105 <br /> 1 p A.P. No. _ <br /> Property Owner <br /> PARK DAVIt) T & SuStiit Ph. No''. <br /> Mailing Address 405 SERPXt O DR #t.J City/St'! 5AN FRAl CISCCA Zip 95207-0000 <br /> Contractor's Name OIL EQUIPMENT SERVPh. No 209-754-1888. <br /> Mailing Address F''S' BOX 350 City/St!1 5A k4DREAS CA Zip 95249-0000 <br /> Project Manager KE.1 TAl.L1,A Ph. Noll <br /> iVlSi-N. I.O`i h <br /> I� <br /> Permit # 22119 Date Issued 0051591 Type C" <br /> is <br /> INSTRUCTIONS <br /> Please Note: This form must be completed and returned to the Building Inspection iDivision BEFORE a final inspection will be made. <br /> Permitee is responsible for obtaining the following approvals: <br /> ❑ Site Plan & Architectural Review Committee 333-6711 <br /> By ) Date <br /> Public Works6706 <br /> J <br /> By J1 Date R <br /> -❑= Sewer and !Nater i --- 333-6740 <br /> By --- Date <br /> ❑ Fire Department <br /> 333-673 <br /> By —.-- �i Date <br /> ❑ Community Development Department 333-6711 <br /> f <br /> By Date <br /> San Joaquin Local Health District <br /> 468-3420 <br /> By Date <br /> By Date <br /> The Building Inspection Division shares your desire to complete the final inspection phase of your project in an <br /> expeditious manner. However, prior to approval of final inspection and authorization of and gas service connec- <br /> tions, the builder is responsible for contacting the Departments checked above and obtaining final unconditional <br /> approval from the agency or City Department. <br /> A building inspector will not conduct a final inspection until the appropriate approval signatures have been <br /> secured and this form is submitted to the Building Inspection pivision. <br /> DO NOT LOSE THISCARD <br /> White - File Yellow - Return to Building Division with Required Signatures Card - Builder <br /> .H...m,.a.,� <br /> BID-4 2-e9 <br />