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CFRT1F[CAIT OF OCCUPANCY ROUTING FORM <br /> Permit Number r /� cc 7----._Assussoj 1'.it'ct.r I 14(). /77- /00-2� <br /> Uso of Structures• : - - .S/ora9c <br /> Address of Structure. : -- <br /> Owner s 6c,orge_ Z-9c?Ori o - ---Address : --- 2 77/ 2:7 Fi-en��i 4 a. /Q <br /> Contractor r Roe/�C Con str4e 71 oHC4„11:r,ct Phone No. z `/(o4 -83.15"It <br /> Occ. Group: Type of Construct _2YXI_- Zoning : <br /> Sprinklered: Ye,s Oer . r,r>nd ; /3S Ar-,,,-, �;opara ion Wall in r.ieu <br /> Square Feet :`¢O_<iZS' -'- of Sl„ inkl.er : /1/a <br /> Before a final inspection can ba marl(_ by t1w Itui fling Inspection <br /> Division and prior to issuance of a Certificate of Occupancy by the <br /> Building Official, approval signatures must he obtained from each <br /> agency listed below. It is the applicant ' s responsibility to obtain <br /> all signatures and return this farm to thc• Building Division. Please <br /> he aware that advanc e,11 notice and f. [.11,1 in.--pec.t ion time m y be required <br /> by each agency prior to signature . � . <br /> Public Works Department : <br /> Approval Signature_ _00 �- - pate _ <br /> N <br /> HENRY . 111RATA, )ikL� _ <br /> - -l'111l,l WORKS DEPARME:NT <br /> by A) Ill evens, L-111 i:n'l inr.c�r ` <br /> an Joaquin Local lic;, l th ni3trict : <br /> Approval Signature _ -_ Date � <br /> ,AND-IiA .rte, III CTOR -- - <br /> /J ENVIRONMENTAL. I1 . r:ftl DIVISION <br /> Comments: /s : <br /> San Joaquiji 5ount-y Fire Warden Or City „C Stockton fire Department: <br /> Approval Signature Date <br /> STEVE THIF.NES <br /> COUNTY FIAE WARDEN <br /> Approval Signature Date <br /> -APPLICABLE FIRE: CHIEP AND FIRE DISTRICT) <br /> Comments: <br />