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SAN JOAQUIN COUNTY <br /> FIRE PREVENTION BUREAU <br /> 222 E . WEBER AVE. ROOM 67� <br /> STOCKTON CA. 95202 <br /> ( ''209 ) 944-2414 <br /> APPLICATION FOR PERMIT _ <br /> Permit No. - Application Da e : _,y- 14-cy� <br /> Application e hereby made for a PERMIT a.-. <br /> 6�YU V <br /> Bureau of Fire Prevention and the <br /> Article. 79 <br /> Article/Section. 79 . 114 JUL <br /> Rule. REMOVE, ABANDON, PLACE TEMPORARILY OUT OF SERVICE OR .:1THER''o1SE <br /> DISPOSE OF ANY FLAMMABLE OR COMBUSTIBLE LIUUTD <br /> PERMIT i <br /> Fee Requir ' $75 . 00 Fee Paid YESc x N.? <br /> This PERMIT , is to be used for the following Purpose( " . <br /> Name and location where permit will be urea . <br /> Business Name: <br /> Owners Last Name: DINSDALE First: E .T . <br /> Address: 15770 S. AUSTIN <br /> T. City : MANTECA <br /> p <br /> M Phone: 823-5978 Contact Person: E . T . DINSDALE <br /> Name of other persons involved . Contractors <br /> Last Name: ' <br /> Zip: <br /> Address: City: <br /> Phone: Contact Person: <br /> I have read the above application and know the contents thare<,f ; tV sr= <br /> true and correct. I further state that I am familiar witri accePl'.aul , re <br /> protection and prevention practices as set forth in the San Joaquin r:".:'•' <br /> Uniform Fire Code, and the ammendments thereof , and that the u <br /> being applied for will conform to these practices . <br /> Applicant' s <br /> Signature ----- --- <br /> Inspected By . <br /> Issued By . <br /> Date Issued . <br /> ROUTING Expiration Date . <br /> ( ) Finance <br /> ( ) Fire Department: MANTECA-LATHROP F . D. <br /> ( ) Deputy Fire Marshal <br /> ( ) File <br />