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SAN JOAQUIN COUNTY <br /> FIRE PREVENTION BUREAU <br /> 222 E. WEBER AVE. ROOM 678 <br /> STOCKTON CA. 95202 <br /> (209) 944-2414 <br /> APPLICATION FOR PERMIT <br /> Permit No. --__-`_____ Application Date: 12-13-88 <br /> Application is hereby made for a PERMIT as required by the Sari Joaquin County <br /> Bureau of Fire Prevention and the Uniform Fire Code. <br /> Article. 79 <br /> Article/Section. 79. 114 <br /> Rule. REMOVE, ABANDON, PLACE TEMPORARILY OUT OF SERVICE OR OTHERWISE <br /> DISPOSE OF ANY FLAMMABLE OR COMBUSTIBLE LIQ7UID TANK <br /> Fee Required. $75. 00 Fee Paid : YES: X NO <br /> This PER/M�I,T,. is to beusedfor the following purpose(s) . <br /> -P�TI�Y' ------- <br /> ------------------------------------------------------------------------------ <br /> ---------"--- -------._------_.---._.----.-------'------------------------"-- <br /> Name and location where permit will be used. <br /> Business Name: AD-ART <br /> Owners Last Name: First : <br /> Address: 3933 N. AD-ART WAY City: STOCKTON Zip: 95205 <br /> Phone: 931-0860 EXT 121 Contact Person. RON MORRIS <br /> Name of other <br /> ,�-persons <br /> / involved. Contractor( ) Installer ( ) Other( ) <br /> Last Name- /a iiL /H+r+�/`'l'f? ss�'✓A( �0_r/"'r rJ/ <br /> Address: / City: Zip: <br /> Phone: Contact Person: <br /> I have read the above application and know the contents thereof; the same is <br /> true and correct. I further state that I am familiar with accepted fire <br /> protection and prevention practices as set forth in the San Joaquin County <br /> Uniform Fire Code, and the ammendments thereof, and that the u.se Of the permit <br /> being applied for will conform to these practices. <br /> Applicant' s <br /> Signature __--- <br /> Inspected By. 0110 <br /> �issued By.Date Issued. <br /> ROUTING Expiration Date. I � <br /> ( ) Finance <br /> i ) Fire Department : WATERLOO-MORADA F. D. <br /> Deputy Fire Marshal <br /> ( ) File <br /> PORM AP =i- <br />