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O'Gk N-C <br /> r '-2 <br /> CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> c;KQ�a SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E.HAZELTON AVENUE,STOCKTON,CA 95205 <br /> BUSINESS PHONE(269)468-3123 <br /> Permit No.: 0 APN: 2�?�]� CF� -•� Business License No.: <br /> Job-Site Address: � � � f7� Use of Structure: P(��7� <br /> Doing Business ASf �R-�� Planning Application No.: 5,9 �– 1 Z <br /> OWNER NAME AND ADDRESS CONTRACTOR NAME AND ADDRESS <br /> Name: Noma: <br /> Address: �rr �-.� Address: <br /> City: State: C,9L-(' City: State: Cfj[-I <br /> ZIP: C) 735--46'O PH: A0 ZIP: 9�z(�� PH: —� <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: 3 Occupancy Load: '$ <br /> Type of Construction: Square Feet: <br /> Zoning: Fire Sprinklers: Yes <br /> Area Separation Wall in Lieu of Sprinklers: Yes !Co HeatedlCooled: Yes on <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 /> DEPA F PUBLIC WORKS DATE ^T <br /> * Y <br /> EtWIRONMENTAL HEALTH DA .E <br /> 0 <br /> AIR POLLUTION CONTROL DISTRICT DATE <br /> 0 <br /> COUNTY FIRE WARDEN DATE <br /> FIRE CHIEF � n DATE <br /> LOCAL FIRE DISTRICT: , I P-� <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> CALTRANS DATE <br /> OFFICE OF EMERGENCY SERVICES DATE <br /> Y <br />