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FIRE DEPARTMENT CITY OF STOCKTON y <br /> FIRE PREVENTION BUP2AU <br /> CITY HALL <br /> 944-8271 <br /> APPLICATION FOR FMMIT <br /> APPLICATION & PERMIT NO. <br /> Application is hereby made for a perrsit as required by the Stockton Municipal Fire <br /> Code, Articles) 5 <br /> aect:.on(s) + <br /> THIS PEPlCT IS TO HE USED FOR THE FOLLOWING PURPOSE(S) . <br /> LOCATION WHERE PERMIT IS TO BE USED. h <br /> OCCUPANT. I ¢ ' <br /> ADDRESS <br /> PHONE: <br /> NAME OF OTHER PERSONS INVOLVED (IDENTIFY CONTRACTOR, INSTALLER, ETC ) <br /> NAMES IV , -.:5E . 'Td <br /> ADDRESS! 40 c>>u p <br /> PHONE. <br /> I have read the above application and know the conments there-of- the sazae .s true ana <br /> correct. I further state that I am familiar with accepted tzre protection and pre- <br /> vention practices as set forty: in the City of Stocktark Un-iform Fire Code, ana the <br /> ameadmenta thereof, and that the use of the permiz being applied for will =onform to <br /> these practices. <br /> Applics.nt's <br /> Signature. <br /> ISSUED BY� `�r *, INSPECTED BY <br /> DATE: <br /> r <br /> V <br /> F,D 5 G <br /> Revised 4/23/68 <br />