Laserfiche WebLink
Please provide all information requested; an incomplete application may delay approval <br /> ❑ FACILITY INFORMATIO <br /> Name of Facility: Gingerbugs <br /> Street Address: 2 W.oak St <br /> City: Lodi Zip Code: 95240 <br /> ❑ FORMER NAME OF FACILITY <br /> ❑ BUSINESS OWNER INFORMATION <br /> Business Owner Name: James& Kelli Powell <br /> Home Address: 1919 Crystalwood Lane Lodi Ca.95242 <br /> Mailing Address: 1919 Crystalwood Lane Lodi Ca. 95242 <br /> Telephone Number: 209-747-1198 <br /> WOROPERWbWNER INFORMATION <br /> Property Owner Name: Ed Atwood <br /> Home Address: <br /> Mailing Address: <br /> Telephone Number: 206-313-6612 <br /> CONT INFORMATION <br /> Name of General Contractor: JTM Construction <br /> Mailing Address: 11603 Eagle Bay Rd Acampo Ca.95220 <br /> Telephone Number: 209-200-2170 <br /> Contact Person on Site: Mike Navara <br /> Site Phone Number: 209-200-2170 <br /> Source of Facility Water Supply: City of Lodi <br /> Backflow Protection: <br /> System to be used for Liquid Waste Disposal (Sewage): City of Lodi <br /> Solid Waste Disposal to be provided: waste Managment <br /> Grease Interceptor: None Required <br /> 6.❑ Fo Ioly <br /> List food(s) to be served and/or provide menu: <br /> Hot & Cold Coffee /Hot & Cold Tea/ Hot Chocolate / Pizza /Breadsticks <br /> ❑ OPERATIONAL INFORMATION <br /> Anticipated Business Hours: Open: 8:30 am Close: 1:30pm <br /> Anticipated Number of Employees: 1 <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 7/5/17 <br />