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City of Stockton <br /> Fire Prevention Division <br /> 345 North El Dorado Street <br /> Stockton, CA 95202 <br /> 10110 <br /> (209) 937-8271 <br /> PERMIT AND SPECIAL INSPECTION APPLLCAILQ- <br /> ( n city 12( County ❑ ` r 1;, I)r , I, "--) <br /> ! Permit No. ' l Date <br /> Application is hereby made for a permittspecial inspection as required by the Stockton Municipal Code. <br /> Art/Sec(s) Permit(s) Fee(s) <br /> Comments Total Fee• ' <br /> Business Namei <br /> Address .... . -����- 1�` ' A ie? — — Ste Zip s - <br /> Telephone <br /> Contact Person_ �_r - �� __Telephone <br /> } E Business Owner. '- C. �1- <br /> Billing Address i 'r ALIC1 <br /> City/Zip \ t -i '. I �' - -- Telephone .ek) <br /> I have read the above application and know the contents thereof, the same is true and correct I further state that <br /> I am familiar with accepted fire protection and prevent>lon practices as set forth in the City of Stockton Uniform Fire <br /> Code, and the amendments thereof, and use of the permit being applied for will conform to these practices <br /> 4DAppllcant's Signature �r� l �� r ,� ' Code. M Ck# <br /> Alpt <br /> Inspected/issued by <br /> a Date issued 6 2n Y �- <br /> T%FSREPREWORMWERMITS WPD ^ <br /> FIRE PREVENTION DIVISION . <br />