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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> 7.•.-��.coG <br /> r. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Ul: < <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> �. BUSINESS PHONE: (209)468-3124 <br /> �liFo i°� BUSINESS HOURS: &A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY (EXCLUDING HOLIDAYS) <br /> Permit No.6j-OAT3 APN:25!) -»f --GL;n�' Contractor: <br /> Job-Site Address: JZ (&I_ [- j f�,O_ Use of Structure: r `__ l= <br /> t L )r—. Planning Application No: — -6F I <br /> OWNER NAME AND ADDRESS <br /> Name: �� <br /> Address: l 6:�CfRJ7 <br /> City: IV State:e— zip: 9 <br /> Telephone:(0� ) 7—/(3f47 <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: <br /> Type of Construction: Square Feet: <br /> Zoning : ,r-- ,- Fire Sprinklers: Yes/No �- <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 /> DE ,TMENT OF PUBLIC Va5KS <br /> � ZZ � <br /> ENVIR NMENTAL HEALTH <br /> El <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: <br /> El <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> El <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 ins ection. <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 /> FABUILDINGIHANDOUMHANDOUT 072 C of O.doc(Revised 2/25144) Page 1 of 2 <br />