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FINAL DATE _.__ 8 3 7 9 <br /> APPLICATION FOR PERMIT INSPECTOR <br /> Give This Number When <br /> Calling for Inspection <br /> SAN JOAQUIN COUNTY BUILDING INSPECTION DEPT. CALL 2C HOURS IN ADVANCE <br /> 1810 E.HAZELTON AVE.,STOCKTON,CALIFORNIA 95205—PHONE 944.2155 <br /> Date <br /> Applicant <br /> Job Location <br /> r— <br /> Legal Descriptio – <br /> Owner ADDRESS PHONE <br /> Const. Lender fK14 Oft <br /> (REQ. BY STATE Of CALIF.C.C,P. #1149 UNNKNOWN <br /> SCOPE OF WORK___— _ --- – <br /> BUILDING <br /> Permit Fee $ <br /> Plan Check $�-- <br /> --- BY <br /> Accepted By ---Approved By – Microfilm .............. .. ----- -------- <br /> I <br /> Remarks— --- – <br /> PLUMBING <br /> Fixtures t..... .- 3 <br /> Water Heater ... .... - .. <br /> Const. Val Water System .... _.. _.. <br /> Size Gas Piping <br /> . <br /> Occupga Type Const. -- �er/W°t r nn: .... $ <br /> _ <br /> Planning DepCCt. Zone <br /> Maintenance District ............ . ._...........-......__.__ 3 <br /> U.P. Var.—D.O.L. <br /> P.W. Dept Encr._ —Drain <br /> Health Dept., Fire Permit MECHANICAL <br /> Main. Dist. No. Comb. Unit -- -----. $ <br /> Furnace/A.C. -.._----.---- <br /> Range/Dryer <br /> BUILDING CONTRACTOR ADDRESS CLASS AND No. ___Hood/Fan/Vent -....-_... <br /> _ Gas Piping ......... <br /> PLUMBING CONTRACTOR ADDRESS CLASS AND No, <br /> MECHANICAL CONTRACTOR ADDRESS CLASS AND No. <br /> ELECTRICAL CONTRACTOR ADDRESS Cuss AND No. ELECTRICAL O O <br /> For issuing permit .............._ -. $PLEASE CHECK IF APPLICABLE: y Fluor/Flood <br /> I am the owner of the Property. I will J t —Incandescent <br /> do the work myself or through my employees Total Outlets .. ........... <br /> who work for wages OR Motors H.P. .... ... <br /> I am contracting with a licensed Contractor. ---- Amp. Service <br /> Range/Oven <br /> I am an Employee with wages as my sole Compensation. Dryer/Wtr. Htr. <br /> PERMIT VOID IF WORK NOT STARTED IN 90 DAYS Temp. Pole .. . <br /> I hereby acknowledge that I have read this application and01 <br /> state that the content is correct and agree to comply with all '�– <br /> county ordinances and state laws regulating building c nstruc- - <br /> tion, plumbing, mechani I a electrical ins to <br /> Signe eceipt No.1 :��� r TOTAL FEES 5 <br /> Owner,C actor, r ALihorized Agent <br />