Laserfiche WebLink
oP`xu 1N. •.c <br />�.••�ra •.oG <br />�:. :4 <br />CERTIFICATE OF OCCUPANCY ROUTING FORM <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E. HAZELTON AVENUE, STOCKTON, CA 95205 <br />1:51.1511Vt55 PHUrNt IZW) 4513-3123 <br />Permit No.:OI O 2 -S APN: I©�,. ©40 + jC Business License No.: <br />Job -Site Address: `5co N , "AC4i Tbr-E P0 Use of Structure: AG c fyt& �T <br />Doing BusinessAs::r_0P?t&f-40 VaNC44 Planning Application No.: �-A_OI—God., , <br />Name: L Name: <br />Address: �� �, �x j}� Address: F• p , '�jC 8��1.0 <br />City: �jr� State: City: State: Q- 1 <br />ZIP: 9208 PH: ZIP: 9.5 208 PH: <br />Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of Occupancy by the <br />Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below. It Is the applicant's responsibility to <br />obtain all signatures and return this form to the Building Division. Please be aware that advanced notice and a field inspection time may <br />be required by each agency prior to signature. If your project is in a flood zone, the Building Division must have the Elevation Certificate <br />properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING <br />SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. <br />APPROVAL REQUIRED: <br />. Z <br />DEP NT OF PUBLIC WORKS DATE <br />�iG�U� /tea <br />—Z: <br />ENVIRONMENTAL HEALTH DATE <br />EOncerequired signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your <br />final Inspection will not be made unless this completed form has been returned. <br />F:\Building\Handouts\Handout 72.doc (Revised 01-25-2001) <br />Pagel of 2 <br />AIR POLLUTION CONTROL DISTRICT <br />DATE <br />COUNTY FIRE WARDEN <br />DATE <br />FIRE CHIEF II <br />DATE <br />LOCAL FIRE DISTRICT: L�LhID-j <br />CITY OF STOCKTON FIRE DEPARTMENT <br />DATE <br />CALTRANS <br />DATE <br />nn <br />OFFICE OF EMERGENCY SERVICES- �=,_ _ <br />DATE <br />COMMUNITY DEVELOPMENT THOMAS SWEESO 468-3184 <br />DATE <br />EOncerequired signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your <br />final Inspection will not be made unless this completed form has been returned. <br />F:\Building\Handouts\Handout 72.doc (Revised 01-25-2001) <br />Pagel of 2 <br />