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Permit LVurilvei : f_ t�j Al '-)_ ) .ss--' — . - 1 <br /> Use of Structure : 0 2 L A F 0R Q <br /> Address of Structure : Z771 C F_RE/�IC N ,f�Mp /� QAQ <br /> Owner : Aar dM/47z —Address : 027.1 E. FkE/ r d CA41 Po. <br /> Doing Business As : <br /> Contractor : PAYmnN G2F"jak Contact Phone No. : 46-6-- 7279 <br /> Occ. Group: ,6 - 2 Type of Construction: 15� Zoning: EAZAEVO <br /> Sprinklered :� Occ. Load :�� Area Separation Wall in Lieu <br /> Square Feet: �pgdQ of Sprinkler: YGS' <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 � VV-12 _2� <br /> PUBLIC WORKS DEPARTMENT <br /> Comments: <br /> San Joaquin Local Health District: <br /> Approval Signature G -� --- Date <br /> RO ALD VALIJ90TI , 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 /> ( 12/86) <br />