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CERTIFICATE OF OCCUPANCY ROUTING FORM <br /> Permit Number: 1'1044-2. Assessor Parcel No. _06G�_ r2_0 _®3 <br /> Use of Structure: ,C„c:,&LE <br /> Address of Structure: 17 E, G7 <br /> Dwner: r-JAddress: Z22 57, <br />)oing Business As: ycLtrlr1TGR <br /> contractor: 1A Contact Phone No. : <br />)cc. Group: 5-11-- Occ. Load: '?Z Area Separation Wall in Lieu <br />>quare Feet: -1-.ere: of Sprinkler: r,40 <br /> 3efore a final inspection can be made by the Building Inspection Division, and prior to issuance <br />)f a Certificate of Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from <br />.ach agency listed below. It is the applicant's responsibility to obtain all signatures and <br />•eturn this form to the Building Division. Please be aware that advanced notice and field <br />.nspection time may be required by each agency prior to signature. If your project is in a flood <br /> one, Flood Control must have the Elevation Certificate properly signed before approval can be <br /> ranted. NOTE: Please bring your approved Development Plan or plot plan when obtaining <br /> ignatures on the Certificate of Occupancy Routing Form. <br /> Peyel.oAment Services En ineering: <br /> Approval Signature " Date <br /> TOM GA <br /> SENIOR CIVIL ENGINEER <br /> Comments: <br /> ublic Works Department: <br /> Approval Signature to <br /> U LIC W ��RT ENT <br /> Comments: <br /> in Joaquin Public Health Services: <br /> Approval Signature Date <br /> R ALD ALI OTI, DIRECTOR _ <br /> ENVIRONMEN AL HEALTH DIVISION <br /> Comments: <br /> Lr Pollution Control District: <br /> Approval Signature <br /> Date <br /> LAKHMIR GREWAL, DIRECTOR <br /> Comments: <br /> n Joacruin rnllni-y Fire Warden or Anplicable Fire District: <br /> Approval Signature Date <br /> STEVE THIENES _ <br /> COUNTY FIRE WARDEN ° <br /> Approval Signature <br /> APPLICABLE FIRE CHIEF AND Date <br /> FIRE DISTRICT <br /> Comments: <br /> ai <br />.DOC/LC <br />