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jf • � ` <br /> Permit Number: Assessor Parcel No. <br /> Use of Structure : Lor op_ <br /> Address of Structure : IT]740 ELL N 1 SLA1J D 1247 <br /> Owner : jC,NE`s CE`. Address 2 Z� <br /> Doing Business As: ,//vz, <br /> Contractor: NvMEt.j- i N1 L)1,, T Contact Phone No- : 4`6- �c,5L, <br /> Occ. Group: PI Type of Construction: Zoning: CA - moi <br /> Sprinklered : MC) Occ. Load : 4 bli Area Separation Wall in Lieu <br /> Square Feet: �{ �, ��� of Sprinkler : NC% <br /> Before a final inspection can be made by the Building Inspection <br /> Division and prior to issuance of a Certificate of Occupancy by the <br /> Building Official , approval signatures must be obtained from each <br /> agency listed below. it is the applicant ' s responsibility to obtain <br /> all signatures and return this form to the Building Division. Please <br /> be aware that advanced notice and field inspection time may be required <br /> by each agency prior to signature . NOTE: Please bring your approved <br /> Development Plan or plot plan when obtaining signatures on the <br /> Certificate of Occupancy routing fo <br /> Public Works Departme <br /> Approval Signature - , Date_2/231i�T <br /> P LIC WORKS DEPARTMENT <br /> Comments: <br /> San Joaquin Local Health District: <br /> Approval Signature Date <br /> RONALD VALINOTI , ACTING DIRECTOR <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Comments: <br /> San Joaquin County Fire Warden or City of Stockton Fire Department: <br /> Approval Signature Date <br /> STEVE THIENES <br /> COUNTY FIRE WARDEN <br /> Approval Signature Date <br /> APPLICABLE FIRE CHIEF AND FIRE DISTRICT) <br /> Comments : <br /> , 1L/sF> <br />