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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E_ HAZELTON AVENUE, STOCK-TON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> BUSINESS HOURS: &A.M. TO 5.00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> 00 <br /> Permit No. APN:a Contractor: ;. <br /> Job-Site Address: 3 Use of Structure: <br /> Planning Application No: <br /> OWNER NAME AND ADDRESS <br /> Name: <br /> Address: <br /> City: State: n,4 Zip: 5grZ, <br /> j5A I Telephone:( ) <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Load: <br /> l Type of Construction: Square Feet: <br /> Zoning : 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 farm 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 /> WENONJKTAL_HEALI� <br /> F PUBLIC WORKS <br /> COUNTY FIRE WARDEN ' <br /> FIRE CHIEF <br /> LOCAL FIRE DISTRICT: r <br /> El <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> STOCKTON METRO AIRPORT(209)468-4700 <br /> OTHER <br /> I OTHER <br /> 1 <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 inspection. <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 /> i <br /> FASUILDINGIHANDOUTSIHANDOUT 072 C of O.doc(Revised 0$-30-09) Page 1 of 2 Comm. Dev.59 (07109) <br />