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FIRE DEPARTMENTS(n(.l�Cro <br /> WL�E C OFFICE <br /> — FIRE. PREVINFION-BUREAU OW' COPY: FIRE ' CO. <br /> PINK COPY FINANCE <br /> - CITY HALL - <br /> 944-8271 <br /> APPLICATION FOR PERMIT, SPECIAL INSPECTION OR PLAN APPROVAL <br /> Application $ Permit No. d Date: <br /> Application is hereby made for a �P/}/�1�l as required by the <br /> Stockton Municipal Fire Code, <br /> Article (s) 7 Q/ <br /> Section (s) <br /> Rule <br /> Fee Schedule Fee Required: <br /> THIS ��/L/YJc,� IS TO BE USED FOR THE FOLLOWING PURPOSE(S) <br /> LOCATION WHERE IS TO BE USED: <br /> OCCUPANT: �G� <br /> ADDRESS: a p �� <br /> v <br /> PHONE: <br /> NAME OF OTHER PERSONS INVOLVED. (IDENTIFY CONTRACTOR, INSTALLER, ETC.) <br /> NAME: <br /> ADDRESS: 4C <br /> PHONE: <br /> I have read the above application and know the contents thereof: the same is true and <br /> correct. I further state that I am familiar with accepted fire protection and preven- <br /> tion practices as set forth in the City of Stockton Uniform Fire Code, and the amend- <br /> ments thereof, and that the use of the permit being a lied for will conform to these <br /> practices. <br /> Applicant's <br /> Signature: c .rf <br /> FINANCE DEPT: INSPECTED BY: <br /> s collect from 1. <br /> Address 2 <br /> The sum o liars 3 <br /> Finance Dept. By: <br /> Date: - ISSUED BY: - - <br /> Fes.S fd-985 —GATE: <br /> -Revised 5/22/74 - - - <br />