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ILIA-21-2002 09:21 FROM:COMM DEV 2099378893 T0:209 369 4228 P.eea-002 <br /> FI DEPr1I�Tr <br /> WHITE COPY: OFFICE <br /> FIRE PRE"d-2WION BiTREAU YELLOW' COPY: FINANCE <br /> PINK COPY <br /> cIn, HALL <br /> 944-8271 <br /> APPLICATI0 FOR. DERV SPECIAL INSPECTION OR PLAN APPROVAL <br /> „ate: <br /> Application & permit No. <br /> d�, <br /> Application is hereby <br /> bixeCode, a <br /> � �� as required by the <br /> Stockton hLniciPa F <br /> Article ts) <br /> Sect!— <br /> Rule <br /> Free schedule. - O <br /> Aird f' IS TO BE USED FOR UR <br /> I1E FOLLOWING PPOSES) <br /> TH15 <br /> ^CATION WHERE IS TO BE USED: <br /> �OCCUPk,NT <br /> v.r ' <br /> ADDRESS: <br /> PHQNE: - " ! <br /> NAWOF OTHER PERSONS INVOLLED. (ID TIFY COIvTfRAC bR, 1, LLER, ETC,) < <br /> PHONE: Y -Jc�� A <br /> ruc <br /> I have read the above application and ow the conterntstthereof. <br /> ed fire rotoetion andle is tprcv n� <br /> _ correct. I further state that I e f efaT with StocktoncUniform Firc Code, an' the amend <br /> tion practices as set forth in the C'_t}' <br /> nys thaLeof, aad .hat the use of the xrmit being applie3 for will ccriCorm to thas,: <br /> rja <br /> ' Practices. <br /> A.pplicar.is <br /> Siplature:� <br /> i <br /> FFvok�-NCE DEPT: INSPE B <br /> ect Fon 1' <br /> o_ 2 <br /> ss <br /> The sum o del ars 3 <br /> Finance Dent. By: <br /> Date: 7 .5-®O ISSUED <br /> --- <br /> ry <br /> F.D.5 fd-985 <br /> Revised 5/22/74 <br />