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1 <br /> CITY OF STOCKTON <br /> FIRE PREVENTION DIVISION <br /> Telephone: (209) 944-8271 <br /> ApJMICA ION OR SPECIAL INSPECTIONO ELAN <br /> Application & Permit' No. 13 I I Date: - 7- �3 <br /> Application is hereby made for a permit/special inspection/plan <br /> approval as required by the Stockton Municipal Fire Code, <br /> Article(s) rJ <br /> Sectibn(s) `- <br /> Fee(s) Required 4.� 4 <br /> This permit/special inspection/plan approval is to be used for the <br /> following purpose(s) <br /> r <br /> f <br /> Location: <br /> Occupant <br /> Street/Zip ✓- <br /> Telephone <br /> Names of AdditionaParties Involved (Contractor/Installer, Etc. ) <br /> Name , <br /> �. �• :%f,{,.pts �.�" <br /> Street/Zip ,. �-� L <br /> City <br /> Telephone <br /> I have read the above application 'and know the contents thereof; the <br /> same is true and correct. I further state that I am familiar with <br /> accepted fire protection and prevention practices as set forth in the <br /> City of Stockton Uniform Fire Code, and the amendments thereof, and <br /> use of the er it being applied for will conform to these practices. <br /> / 0,6 <br /> Applicant's <br /> Signature 1; ` <br /> �.+,._ <br /> 1 <br /> Inspected/Issued by: <br /> Code: 5A <br /> Date: <br /> "FIRE DEPARTMENT PERMIT APPLICATIONS ARE LIMITED <br /> TO 180 DAYS. LIA-,CK Cif ACTIVITY ON THE PART OF THE <br /> APPI IC.ANT MAY RIESULT IN AN ADDITIONAL CHARGE': <br />