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CERTIFICATE OF' OCCUPANCY ROUTING FORM <br /> Permit Number: /J75'2/S , Assessor Parcel No. X77- <br /> Use of Structure : Co/a/ s/L!orct c <br /> Address of Structure :- 2 771 E, Fch�j Ca map <br /> Owner : /Ic-e. TA+alo co, IC, Address : 277/ E. Fi�eo? cct~ <br /> Doing Business As : .�[[ <br /> Contractor:. R4rM0441Gl�Ger 60.15'..�,,[/'kd/i on Contact Phone No <br /> Occ. Group: X82 Type of Construction: 1/& Zoning: f /q/0-/0 <br /> Sprinklered : Ye 5 Occ. Load : & Area Separation Wall in Lieu <br /> Square Feet: /092 of Sprinkler: /1/0 <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 form. <br /> Public Works Department: <br /> Approval Signature Date <br /> - r <br /> PUBLIC WORKS DEPARTMENT <br /> Comments: <br /> San Joaquin Local Health District: /� q <br /> Approval Signature i�`� < v,-- Date �2 <br /> RONALD VAL NOTAALTH <br /> ACTING DIRECTOR <br /> ENVIRONMENTAL DIVISION <br /> Comments:- ,J 0- ?7-9a 7 <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 /> ( 12/86) <br />