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MAR-11-1996 14.04 STOCKTON PERMIT CENTER 209+937+ee93 P 04 <br /> Y <br /> I IRE DEPARTMENT C1 YY 01 S RXXI[IN <br /> J <br /> FIRE PMIMIION BURI.AI1 /? �0.0� <br /> ITY HALL <br /> 944-8271 <br /> ' APPLICATION FOR PERMIT SIPECIAL INSPECTION OR PLAN APPROVAL <br /> Application F, Permit No. IV e Date:�Tj <br /> Application is hereby made fora as required by the <br /> Stockton Municipal Fire Code, <br /> Article W-1 <br /> Section (s) <br /> Rule <br /> Fee Schedule Pce Required _p <br /> M415 IS Ir0 RE USED FOR I}IF. FOLLOWING PIIRPOSE(S) <br /> LOCATION WHERE IS TO BE USED: <br /> OCCUPANT: S <br /> ADDRESS• �y <br /> PJJONE <br /> NA'.E OF OTHER PEFSONS INVOLVED. (IDENTIFY CONTRACTOR, INSTALLER, ETC.) <br /> NAME <br /> ADDRESS: <br /> P11CN, - <br /> I have read the above application and �ez}ow the contents thereof the same is true Banc! <br /> C <br /> orrect. I further state that I am familiar with accepted fire protection and prevcn - <br /> tion practices as set forth in the City of Stockton Uniform Fire Code, and the amund- <br /> ments thereof, and that the use of the permit being applied for will conform to the,,c <br /> Practices. <br /> . plicant's _ <br /> ignature: <br /> FINANCE DEPT: INSPECTED BY: <br /> FIs collect from 5' ,� 1. <br /> Address 3 Z. <br /> The sum o dollars f •Da <br /> Finance Dept. y: - <br /> Date: <br /> I SUED BY <br /> F.D.S fd-985 <br /> Revised 5/22174 <br /> TOTAL P 04 <br />