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FINAL DATE_ 9 2 9,i6 4 <br /> APPLICATION FOR PERMIT INSPECTOR Give This Number When <br /> Calling for Inspeaion <br /> SAN JOAQUIN COUNTY BUILDING INSPECTION DEPT. CALL 24 HOURS IN ADVANCE <br /> b1810 E.HAZELTON AVE.,STOCKTON,CALIFORNIA 95205 —PHONE 9442155 <br /> ` /J Date Issued_ _ _, 19. <br /> Applicant (- 1e _ ��r a�-CU Date <br /> Job Location_Z05 �4' �_ - ' <br /> Legal Description <br /> Owner_ — <br /> ADDRESS PHONE <br /> Const. Lender_— _ -- uNOKNE OR <br /> SCOPE OF ORK—____ <br /> [REG. BY STATE OF CALIF CC P #1193 Ythl <br /> Wy.+. <br /> BUILDING <br /> ;Z Permit Fee <br /> -- Plan Check S.._- <br /> ----- - --- -- ------------ By. <br /> S.M.I.P. tI <br /> Accepted By --Approved By_._._ ___.-- Microfilm <br /> Remarks_ <br /> MOBILEHOME INSTALLATION <br /> PLUMBING <br /> Fixtures $-.- <br /> --.-- _--Water Heater _.. <br /> Size.—.— Const. Val. __ --- --.Water System . ..... __ <br /> ----_-Gas Piping -- <br /> Occupancy_ Type Const.---_ _..Sewer Water Conn. <br /> Planning Dept.—_—_ —Zone <br /> U - - - -- V — -- DOL . —- - <br /> PW Dept! Encr. .... ._ ,_ Drain/Flood Control _ - MECHANICAL <br /> Health Dept.,— __Fire Permit - _..__Comb. Unit 5 _.. <br /> __—Furnace A.C. <br /> Main. Dist._ No. _----Range 'Dryer .—__._. .. <br /> _—Hood 'Fan Vent <br /> ia_o—Cc-. -Gas Piping .....— <br /> - <br /> V,0 C;--_—. Epp.:. C.:_.. <br /> ELECTRICAL <br /> PLEASE CHECK IF APPLICABLE: ...Fluor 'Flood 1... <br /> _,z_ I am thtyowner of the Property. I will .._.. Incandescent ._. <br /> - do the work myself or through my employees - Total O T ets _._ <br /> who work for wages OR Motors, . H.P. _521 — <br /> .__. _I am contracting Service <br /> with a licensed Contractor. Range Ogen .. <br /> _. I am on 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 and <br /> state that the content is correct and ogee to comply with all --- <br /> county ordinances and state lows regulating budding construc- <br /> tion, plumbing, mechanical and electrical installations. <br /> 1 / / Sub-Total S <br /> �O - Plan Check S. $ <br /> wner Authorized Agent <br /> Contractor Receipt No. 1 5 -� e/ TOTAL FEES $ <br />