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CERTIFICATE OF OCCUPANCY ROUTING FORM, <br /> Permit Number : See attached Assessor Parcel No . 195-270-58 <br /> Use of Structure: Cogeneration plant <br /> Address of Structure : 455 East�K Street, Lathrop, CA <br /> Owner : San Joaquin Cogen Ltd. Address : Bax 19398, _Houston, Texas 77224 <br /> Doing Business As : <br /> Contractor : Power Systems Engineering, Inc_ Contact Phone No. :�717) 464-9451 <br /> Occ. Group: Type of Construction : Zoning : <br /> Sprinklered : Occ . Load : Area Separation Wall in Lieu <br /> Square Feet: of Sprinkler : <br /> Before a final inspection can be made by the Building Inspection Division <br /> and prior to issuance of a Certificate of Occupancy by the Building <br /> Official , APPROVAL SIGNATURES must be obtained from each agency listed <br /> below. It is the applicant ' s responsibility to obtain all signatures and <br /> return this form to the Building Division . Please be aware that advanced <br /> notice and field inspection time may be required by each agency prior to <br /> signature . If your project is in a flood zone , Flood Control must have the <br /> elevation certificate properly signed before approval can be granted . <br /> NOTE: Please bring your approved Development Plan or plot plan when <br /> obtaining signatures on the Certificate of Occupancy Routing Form. <br /> Public Works Deoartment: <br /> Cc <br /> Approval Signature Date O I Z <br /> PUBLIC WORKS DEPAR nT <br /> Comments : .l <br /> Flood Plain Administrator : <br /> Approval Signature / �� n Date U <br /> TO., IWAMIYA <br /> FLOOD PLAIN ADMINISTRATOR <br /> San Joaauin Local Health District: <br /> Approval Signature �'!i►' IfAl - <br /> ��� <br /> DG �e <br /> RONALD VALINOT DIRECTO <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Comments : <br /> ?Cir Pollution Control District : <br /> ADDroval Signature Date <br /> J LAKHMIR GREWAL , DIRECTOR <br /> Comments : <br /> San Joaoui- Countv Fire Warden or Aoolicable Fire District : <br /> Approval Signature Date <br /> STEVE THIENES , COUNTY FIRE WARDEN <br /> Approval Signature Date <br /> ( APPLICABLE FIRE CHIEF AND FIRE DISTRICT) <br /> Comments • <br /> * * 110/89 ) <br />