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CITY OF STOCKTON <br /> FIRE PREVENTION DIVISION <br /> Telephone: (209) 944-8271 <br /> APPLICATION FOR Fffit = SPECIAL INSPEC'1 = OR PLRN T <br /> Application 8 Permit No. / (I L I Date: 7 b o/I a- <br /> Application is hereby made for a permit/special inspection/plan <br /> approval as required by the Stockton Municipal Fire Code, <br /> Article(s) <br /> Section(s) <br /> Fee(s) Required A, C`0, vG <br /> This permit/special inspection/plan approval is to be used for the <br /> following purpose(s) <br /> 44 <br /> Or <br /> Location: <br /> .Occupantl l ;}• ,/� <. r�Cj <br /> :Street/Zip <br /> Telephone <br /> Names of Additional Parties Involved (Contractor/Installer, . Etc. ) <br /> Name <br /> :u.t /J L G O <br /> Street/Zip 1 -c- <br /> CitTelephone <br /> I have read the above application and know the contents thereof; the <br /> same is true and correct. I further state that I an familiar with <br /> accepted fire protection and prevention practices as set forth in the <br /> City of Stockton Uniform Fire Code, and the amendments thereof, and <br /> use of the pe it being applied for will conform to these practices. <br /> Applicants <br /> ` signature <br /> Ins <br /> pected/Issued by: <br /> ��NT aF <br /> Date: Coder_ <br /> L1 , n`�. <br /> JUL 10 t992 <br /> cmr <br /> 3TOCKTUN ,Gw <br />