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pau,lh <br /> CERTIFICATE OF OCCUPANCY ROU`T'ING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE,STOCKTON,CA 95205 <br /> BUSINESS PHONE(209)468-3123 <br /> Permit Na.: (OZZ66 APN:Z29 7K 7 Business License No.: �L <br /> Job-Site Address: ZS O �'` ��� Use of Structure: T-4-7 1 P4 KF <br /> ­ <br /> Do Business As. �g VI1qL Planning Application No.: <br /> — EW WittL <br /> OWNER NAME ANID ADDRESS CONTRACTOR NAME AND ADDRESS <br /> Name: 0,0 Name: G� <br /> Address: S l V Address: <br /> City: State: L, City: State: <br /> ZIP: PH: 947 Z1 P: PH: <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: �• Occupancy Load: <br /> Type of Construction: Square Feet: 3 6 f�L <br /> Zoning: L^ Fire Sprinklers: Yes <br /> Area Separation Wali in Lieu of Sprinklers: Yes ! o Heated/Cooled: e ! No <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 /> property 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 /> " DEPARTM T OF PUBLIC WOR S DATE <br /> �L.� (I y,,,,, .• Com, Z '� <br /> E VIRONMENTAL HEALTH DATE <br /> AIR PO LUTION OL DISTRICT DATE <br /> i <br /> CO TY IR WA DATE <br /> FI CHI [� f� DATE <br /> L CAL EISTRICT:_L' <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE <br /> n CALTRANS DATE <br /> i� <br /> OFFICE OF EMERGENCY SERVICES DATE <br /> COMMUNITY DEVELOPMENT THOMAS SWEESO 468-3184 DATE <br /> NOTE TO DEPARTMENTS LISTED ABOVE: Your signature indicates that your conditions have been mot. Use the reverse side of this <br /> form to note comments or conditions,or to approve temporary occupancy. <br /> E <br /> required signatures are obtained, return this form to the Building Division. A final building inspection will be scheduled at your <br /> A final inspection will not be made unless this completed form has been returned. <br /> 0 <br /> F:IBuil9inglHand1jutslllandout 72.doc(Revised 01-25-2001) Page E of <br />