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S <br />' CITY OF STOCKTON <br /> FIRE PREVENTION DIVISION <br /> Telephone: (209) 944-8271 <br /> APPLICATION FOR PERMIT SPECIAL INSPECTION OR PLAN APPROVAL <br />' Application & Permit No. 1d- \ O 8 Date: <br /> Application is hereby made for a permit/special inspection/plan <br />' approval as required by the Stockton Municipal Fire Code, <br /> Article(s) Wi q <br />' Section(s) 11 3 <br /> Fee(s) Required � (-)(-) <br />' This permit/special inspection/plan approval is to be used for the <br /> following purpose(s) <br /> V �'Or r�rrt„v,ara �FAJI<- G L ( 000 <br /> 1 <br /> 1 <br /> Location: <br /> occupant <br /> �`� �5 L�� l..LJF-.a�� �►� rI�U.J <br /> street/Zip <br /> Telephone `T tr -�- 0 a U <br /> Names of Additional Parties Involved (Contractor/Installer, Etc. ) <br />' Name -� ►._ ( r•u*���� �7� L Z-c <br /> Street/Zip <br />' city_ Loch Telephone 3G `6 - (,,1 -1 � <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 permit being applied for will conform to these practices. <br /> Applicant 's <br /> Signature <br /> 1v <br /> Inspected/Issued by: <br /> `#[ <br /> Date: Code: 5A r�'��1[.N Q�-�; <br /> FIRE MAUVE NT PERMIT APPLICATIONS A - <br /> �� I <br /> TO 1$0 DAYS. % ` _ (i i- - , , ;f �r�`� - i�E PAR � 1992 t. <br /> a � l.��Qu \ <br /> APPLICANT fA�'� ADDITIONAL <br />