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MAR-11-1996 14 03 STOCKTON PERMIT CENTER l 209+937+8893 P 03 <br /> VIRL- DEPAR"IMENI' CI ]Y CSI S'IOCKI ON <br /> FIRE PREVI.NFTON BlIPJAU <br /> C TY HALL <br /> 144-8271 <br /> APPLICATION FOR PERMIT SPECIAL INSPECTION OR PLAN APPROVAL <br /> Application F Permit No. fa61 Date . <br /> Application is hereby made <br /> for aas required by the <br /> Stockton ALnicipal Fire Code, <br /> Article (s) 7 F <br /> Section (s) /Oe3 <br /> Rule <br /> fee Schedule ___ ,� FeeRequired: <br /> MIS �Z) W_ IS BF. USED FOR 77M FOLLOWING PURPOSI.(S) <br /> 90 <br /> i <br /> LOCATION *MRE 15 TO BE I JSED: <br /> OCCUPANT. - <br /> PM:5• "j <br /> IOiV£ <br /> I1 <br /> i <br /> NM'lE OF OTHER PERSONS INVOLVED. (IDENTBY CONTRAC170R, INSTALLER, ETC.) <br /> 1 NAME, <br /> AD DRESS- <br /> P1 TONE: <br /> I have read the above application and know the contents thereof: the same is true and <br /> correct. I further state that I am fami;lllar with accepted Eire protection :incl prevf t� <br /> tion practices as set forth in the City Of Stockton Uniform Fire Code, and the amend- <br /> ments thereof, and that the use of the 't being applied for w11I conform to thus. <br /> practices. PC <br /> . Ap licant's <br /> Si tune: <br /> FINANCE DEPT: INSTECM BY: <br /> P13 co ect-rom I. <br /> Address 2. <br /> The sum —or dollars <br /> Finance Dept. By• 1 3. <br /> T3ate. /—� � <br /> ISJUED BY: <br /> 12AIE: <br /> F D.5 fd-985 <br /> Revised 5/22/74 <br />