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WHITE Capt OFFICE <br /> FIRE PRE/INTIM E;fklAU YELLOW COPY : FIRE CO <br /> PINS: COPY FINANCE <br /> CITY BALs <br /> 2i= <br /> 944-8271 C <br /> APFLICATTG,N FOR PERWT, SPECIAL INSPECTION OR PIAN APPROVAL � <br /> Application Pei-rat No. + � `� � Date zo <br /> Application is hereay made for a 1L�}7u� _--- as required by the <br /> Stockton Mini ci.pa l Fre Code, 4 <br /> Article (s) "I <br /> Section (s) jPule ` <br /> Fee Schedule Fee uxre t <br /> 4 <br /> 'MIS � -A �-�- T__`____ IS TO BE USED POR DIE FOLLOWING PURPOSE(S) :_ <br /> vti r <br /> ijQ kTION WI EF.E IS TO BE USED: � ��oo .�,r c oz <br /> OCC UPANT. )G( rta poo- �o..�< 41_:4 C. <br /> ADDRESS:�. C3 /j �'Y�4A, <br /> P140NFE <br /> MM1E OF OTHER PERSONS INVOLVED. (IDENTIFY CONTRACTOR, IIkSTALER, Te.y <br /> NAW: l 4...(.6..a <br /> ADM M- : <br /> M- : <br /> �: ZW 7 3 <br /> r <br /> I have read the move application and knave the contents thereof: the same is true and <br /> correct_ I further state than I am familiar with accepted fire protection and prevcn <br /> tion practices as set forth in the City of Stockton Uniform Fire Cock, and the amend- <br /> ments thereof, and that the use of the permit being applied for will conform to rhes <br /> practices. <br /> Applicant's <br /> Signature: <br /> FINANCE DEPT: INSPECTED $Y: A <br /> Pis C <br /> ollect Trom I. <br /> . Address 2. <br /> The sum p dollgrs <br /> Finance Dept. By. 3. <br /> Date._ (1 l cf -- -.t.._..� ...._. _ i SSMD BY: <br /> BATE• /�� >0 <br /> F.D.5 fd-985 - <br /> Revised S/22/74 <br />