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CITY <br /> OF TRACY <br /> Ouilding Inspection Division IPPLICATION FOR INSPECTION REQUEST 0G.T,acrelyd. <br /> Cit of Trac BUILDING PERMIT (709)0767776 T,ac(20 anm8.27mia 0sa76 <br /> Y Y 1709)6a6776a <br /> I Job Address 500 N SE&UOIA 6! Bldg# Suite# suhdivlsion Lnl# <br /> Assessor's Purccl No. 231-255-0001- <br /> 2 Project Dcscri tlon Or Comments PUMP STATION FOR ALDEN PARK <br /> 3 Permit Class (Ncw/Add or Aher/Convcrsion'kna+dch REMODEL <br /> 4 Permit Type Building Mechmlical Wleclrical Plumbing Sign <br /> M.II. Lill Demolition (Irading Olhcr <br /> 5 Property Owncr(s) 1, TRACY CITY OF y, <br /> Mailing Address P O BOI 1029 City/Stale TRACY CA <br /> Phone Number Zip Calc 95376-0000 <br /> h Occupant/Business Name Phone No. <br /> Business Owner's Namc <br /> 7 Contractor's Name 7 V NOLFE INC Hiring Lic•cnsed Contractor's (Y/N) <br /> Mailing Address 920 E MINER AVE City/Sone STOCKTON CA 95202-0000 <br /> Phone Numbcr 1-209-466-6149 Cont. St. 1-ic4 396675 <br /> 8 Pro'cct Managers Name Phone No. <br /> 9 Lender Name <br /> 101 U.B.C. Group U.B.C. Type Height (FT) Stories Plan No. 000 0 <br /> 11 Census, Area, Valuc. Assessments: Ccnsus No, 00 1 Private Owncr? Y/N <br /> Can# Census Number Description AID/Y Per Bldg. RVD Units No. Sewcr Water <br /> Sub Code Area/Value Code Pcr Bldg. Tcns Tens <br /> Cale Or Cu. Yrds, Bldg, of.0m 1, of Orn <br /> r <br /> Total Arca Rlml Valet/Yards Zvnin District PRA <br /> THE FULLOWINO PRELIMINARY FEES ARE SUBJECT TO CHANOF BEFORE PERMIT ISSUANCE: <br /> FEE REC.R FEE REC W <br /> 61.06. FEE 001-7200-100-421 <br /> PLAN CK. 001-7400-420-001 <br /> MECH. FEE 001-7200-100-424 19.50 8963 <br /> ELEC, FEE 001-7200-100-422 16.50 6983 <br /> PLM8. FEE 001-7200-100-423 —- '— <br /> SHIP-Res, 001-0000-221-006 <br /> SNIP-Coea.001-0000-221 006 JUN 1 5 <br /> MISC. FEES. <br /> TOTALL <br /> FEES - <br /> •- <br /> AMOUNT PAID ; 36,00 <br /> BAlAHCE 4 +00 <br /> Application Number Permit Number 15759 Aetivity Code P IIS- D <br /> Application Date 6!15192 Issuance Datc 6115/92 Activity Date 6/15/92 <br /> Building Division Approval _ Date Planning Divlslon Approval Date <br /> Inspections are Required — Request them 24 Hours in Advance <br /> OWNERIBUILDER/INFORMATION WORKERS'COMPENSATION <br /> IMI,py elll,m ipN l,m lignp,wdfl pK-Opn10IeMp1p19 CNnma�llne wnn9Mian ro�ld elmalPn IM,0Wlf AA Mat I 11340<a1fOdIB Of MmMMIORII MW9.W A 4WOMp111 W WgMH COjjvn 0'Lrelc0. <br /> I d IN 6PYn01 Ind 110.11.1 C .,IM 1111'1101.10 I in IVII b'fv Old 011011 or a Asn,46 to,t1wool(SCC.98M,Lot C.1 <br /> 140.101 r.",9p.m... POPryI COMOany <br /> l— am GPA. Llppnfpl <br /> NA" <br /> ❑/0111110 C.,.1 nsrluY Lnmfnl d <br /> AOWxf <br /> 0-1'jyWMd COPY M Alta Milh IM Cay In <br /> hMmo mlpa,hon depaAMON, <br /> 1 Q CnY EWORIp PMnO / APMiCPN <br /> OPII `� r— 1 <br /> +VdrF + CMO �.. CE1111010TE OF EXEMPTION FIIOM WOneE9E' <br /> COMPEN9ATION INSUNANCC <br /> •II IIp PA,Mm I nm It"kaA.CO'I'wa l V2nMf Ian"1wOI 'Ap,gw(80,"314 l°f+Ctlbn ndad nd 0010AIA.I..- Y.Fwlmn ,i.r aA.hundred POP..(SIMI 0,."1 <br />