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CHECK LISA o DENFICLATION PERMff <br /> �. � •.o <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPrTENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3121 <br /> INSPECTION REQUEST 24-1-IOUR RECORDER: (209) 458-3165 <br /> QL%FORS <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES C eck- <br /> BEFORE YOUR APPLICATION CAN BE PROCESSED. _ <br /> 1. One completed Application. <br /> 2. Obtain Environmental Health Department Approval on Demolition Permit Application. Th7final <br /> i <br /> disposition of the well and septic system must be identified prior to application a roval. <br /> 3. If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris Diversion <br /> Stockton,468 31066, <br /> Plan from Public Works Solid Waste Division office at 1810 E.Hazelton Ave., g <br /> PRIOR to obtaining your Demolition Permit. <br /> 4. Obtain Air Pollution-Control District Approval on Demolition Permit Application. <br /> 5. It is the applicant's responsibility to notify P.G.&E. and have utilities disconnected. It is also the j <br /> -applicant's responsibility to insure P.G.&E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G.&E.at(209 942-11495 <br /> Scope of Work: <br /> Project Address: <br /> DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIC)R TO ISSUING DEMOLITION aEEr,-rIT <br /> Environmental ea epa men pprova tgna ure: J a e ssue : t r �; - <br /> San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval Signature <br /> AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 Enterprise Way 1868 E Hazelton Ave <br /> Modesto, CA Stockton,CA 95205 <br /> (209) 557-6400 (209)468-3420 <br /> I <br /> FAApplication Forms&Handouts\Check lists\Check List Demolition Permit.doc(Revised 6-30-14) <br />