Laserfiche WebLink
C]:W ] U I c'! TE. (IF OCC H PANC;Y R0 1l'1'T NG FORM <br /> Permit Number :_l�0`f47 -A!;sessor - <br />` Use of Strtiettire :-- - �p "qnd <br /> Address of Structu�� .�`� 5rd /Vl� Or-x <br /> Owner : Yygy - /re ieAddre55 -- -- <br /> Contractor : Gl*t � Co.rs� _ Con Lac t Phone No. <br /> Occ. Group: Type of Construct i(-)n : — VIV - Zoning : _ M� <br /> SprinklerecT : No nrc . I,�y ��] : -SO Aron Separation Wail. i Tie" <br /> Square Feet : So4_a of. Sprinkler— <br /> Before a final ins 'Pection can be inatle by t1io Building Inspection <br /> Division and prior to issuance of a Certificate of Occupancy by the <br /> Building Official, japproval signatures must be obtained from each <br /> agency listed below. It is the applicant ' s responsibility to obtain <br /> all signatures and return this f:r)rm to tho Buildinq Division. Please <br /> be aware that advarided notice and f. i-- lbl inspection time may be required <br /> by each agency prior t i.gnattire . <br /> Public Works Departme t : <br /> Approval Sig--- e_ _ _ _ _ _ Date_K Z, <br /> ,!i NRYki_-..,_111RATA, DIltlrCTOR, �PUBMC WO KS DEPARMENT <br /> 7 nl evinss Pield Engineer. <br /> San 'Joaqu'in T.ocal 1 onit/l i.strict : �+ <br /> Approval. Signatu e / �, _ __ Date a y fp <br /> C. LELAND HALL, DIRECTOR <br /> !ENVIRONMENTAL f1EAuriI DIVISION <br /> Comments : <br />'t —__..�---�--------- -------------___..._.__._-- <br /> San Joaquin County Fire Wardeit or City of Stockton Fire Department: <br /> Appxoval Signature Date <br /> STEVE: THIENES <br /> COUNTY FIRE WARDEN <br /> Approval- Signaturu Date <br /> (APPLICABLE FIRE CHIE.F AND FIRE DISTRICT) <br /> Comments : <br />