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City of Stockton <br /> Fire Prevention Division <br /> MD 345 North E/Dorado Street <br /> Stockton, CA 95202 <br /> (209) 937-8271 <br /> PERMIT AND SPECIAL INSPECTION APPLICATION <br /> Permit No. `j' } ' =' b Date <br /> E <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Article/Section(s): Fee(s): <br /> Total Fee Required: <br /> viOMN . 4 <br /> I <br /> i <br /> I <br /> Business Name ,Lil . rf�rlrE 1 1i i11�� <br /> Address <br /> Telephone _ <br /> Business Owner/Contact I-FU vlt l Ij <br /> Address 'A <br /> City/ZIPF ( TTelephone) <br /> I have read the above application and know the contents thereof; the same is true and correct. I further state <br /> that I am familiar with accepted fire protection and prevention practices as set forth in the City of Stockton <br /> Uniform Fire Code, and the amendments thereof and rmit being applied for will conform to these <br /> practices. Q <br /> Ote�tc,,,� D <br /> DApplicant's Signature: SEP 1997 D Code: 5A Ck# (G a <br /> Amt. <br /> Inspected/Issued by: FIRE PREVENTION DIVISION <br /> Date Issued: <br /> White: File Yellow: Fire Co. Pink: Customer Goldenrod: Check Green: FPD ' <br />