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..,. BUILDING PERMIT APPLICATION <br /> Z SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 F. HAZELTON AVENUE, S1 OCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3121 <br /> �r;�.�•Rt+`-.� INSPECTION RFOUEST 24 HOUR RECORDER: (209) 468-3165 <br /> THE APPLICATION MUST BE COMPLF_TE:t-Y FILLED OUT BY THE APPLiCA'NT IN ORDER TO APPLY FOR <br /> BUILDING PERMITS. <br /> Scope of Work <br /> Project Address: <br /> Project Valuation: ' � ' Contact E-mail <br /> OWNER NAME AND ADDRESS APPLIGANI NAME AND A909WS <br /> Name. .d/+I't!r d.�i'/�f ��/'Jr/ Name: y, � ,r�'/4"1 <br /> Address: /�Z S 1` s�jI /'✓I�- Address: <br /> City: State: t City: State. <br /> ZIP: Ph#L,1<ci � ���, ZIP; <br /> CONTRACTOR INFORMATION Ph#( ) <br /> Lic. No: Company Name: <br /> Address: City: St- ZIP. <br /> 77 OFSIGNI71: <br />