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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> r. "r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> BUSINESS HOURS: 8:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.: 7APN: 13� — I -- CO) Contractor: <br /> Job-Site Address: g�q �' SVD. Use of Structure: <br /> G�Tp Planning Application No: -A <br /> OWNER NAME AND ADDRESS <br /> Name: s <br /> Address: po V c;% t5 <br /> City: �T State: GA Zip: Oji"�3 Telephone:( ) <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: &Z- Occupancy Load: �- <br /> Type of Construction: V_ Square Feet: <br /> Zoning : A,& 90 Fire Sprinklers: Yes <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br /> Occupancy by the Building Official,APPROVAL SIGNATURES must be obtained from the agencies indicated below. It is <br /> the applicant's responsibility to obtain all signatures and return this form to the Community Development Department. <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: DATE: <br /> DEPARIMKNT OF PUBLIC WORKS?�� V// <br /> /D <br /> 0 U <br /> ENVIRO ENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE, DISTRICT: <br /> El <br /> CALTRANS <br /> 171 <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been met and authorize <br /> the Community Development Department to complete a final inspection. <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> building inspection will be scheduled at your request. A final inspection will not be scheduled until this form has been <br /> completed and returned. <br /> FASUILDING\HANDOUTSIHANDOUT 072 C of O.doc(Revised 2125104) Page 1 Of 2 <br />