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CERTIFICATE Off' <br /> pr ' <br /> Parcel- <br /> permit Number: <br /> �S�p7 `) Assessor No. <br /> Use of Structure : <br /> Address of Structure : 17g5/ 1 arx-WA <br /> Of <br /> J <br /> Owner : ose fC�n Address : A. �ar1e. <br /> Doing Business As: 1 <br /> /'��f//er �fce( fro Contact Phone No. : 537`8985` <br /> Contractor : h , <br /> Occ. Group: 113 SE Type of Cons <br /> Sprinklered: po Ye 5 Occ. Load : truction: 1WZoning: <br /> �7 <br /> Area Separation Wali in <br /> Lieu <br /> Square Feet:-&-.75 -00 of Sprinkler: <br /> Before a final inspection can be made by the Building Inspection <br /> the <br /> Division and prior to issuance of a Certificate of Occupancy by <br /> Building Official, 'approval signatures must be obtained from each <br /> agency listed below. It is the applicant ' s responsibility to obtain <br /> all signatures and . <br /> this form to the Building Division. Please <br /> be aware that advanced notice and field inspection time may be required <br /> by each agency Prior to signature . NOTE: Please bring your approved <br /> Development Plan or plot plan when obtaining signatures on the <br /> Certificate of Occupancy routing form. <br /> Public Works Department: <br /> CwqtL�� <br /> Approval Signature -_�-- <br /> Date <br /> PUBLIC WORKS DEPARTMENT �s-ti31- <br /> Comments: { <br /> F San Joaquin Local Health District: <br /> '.pproval Signature <br /> Date <br /> k RONPLDV INOTI , ACT DIRECTOR <br /> ENTVIRONMENTAL HEALTH DIVISION <br /> Comments: <br /> t <br /> San Joaquin County Fire Warden or City of Stockton Fire Department: <br /> Approval Signature Date <br /> ST; ' THIENES <br /> C N Y4-7-F, E WARDEN alp <br /> Approval Signature <br /> Date IL <br /> tA_ PLICABLE FIRE CHIEF AND F1RE DIST ICT) <br /> Comments : <br /> 4 ( 12/86) <br /> F <br />