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OV'IRE PERMIT , <br /> sem.•a a <br /> ` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E HAZELTON AVENUE,STOCKTON CA 95205 <br /> BUSINESS PHONE(209)468-3380 <br /> SITE LOCATION INFORMATION PERMIT NUM13ER <br /> Job Site Address:17112 N ST RT 88 HY LODI F -0300426 <br /> Cross St: VICTOR RD APN:051-250.65 <br /> Scope of Work: REQUIRED FIRE PERMIT FOR TANK PULL <br /> OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS <br /> NAME: HARRIS,HENRY C&MARY J TR ETL E: JIM THORPE OIL <br /> ADDRESS:17112 N HWY 88 ADDRESS:PO SOX 357 <br /> LODI CA LODI,CA 95241 <br /> Zip: 95240 Phone: Zip: Phone: <br /> CONTRACTOR INFORMATION DESIGNER INFORMATION <br /> NAME: <br /> ADDRESS: <br /> Lic.No.: Phone: <br /> 33 <br /> PERMIT DESCRIPTION <br /> THIS PERMIT MUST,AT ALL TIMES,BE KEPT ON THE PREMISES <br /> 1058F34 REMOVE CL I OR H FROM U Permit Expires: <br /> Thispermit does not take the place of any License required by law and is not transferable. Any changes in use or occupancy of <br /> premises shall require a new permit. This permit shall,in no way,relieve the party to whom it is issued from full responsibility for <br /> dame es incurred throu its use. <br /> FIRE PERMIT INFORMATION <br /> Total Sq.Ft: 0 Occupancy: Const Type: Fee: $95.00 <br /> Accepted By:KS Approved: Applied Date: 1011312003 Issue Date: <br />