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City of Stockton <br />Fire Prevention Division <br />j9d 345 North El Dorado Street <br />Stockton, CA 95202 <br />(209) 937-8271 <br />City P9, County 0 <br />J r J(L -� <br />Permit No.Date U <br />�� D / <br />Anolication is herebv made for a permit/special inspection as required by the Stockton Municipal Code: <br />City of Stockton <br />*� CUSTOMER RECEIPT w <br />IEit <br />batch MJESUS 12/12/03 01 <br />Rece' t no: 23287 <br />To Sv Description Ot <br />y Araount <br />5A FIRE- MISC PERM <br />ITS <br />1.0 <br />0 3211.00 <br />FIRE DEPT PERMITS / 84826313256900 <br />P 903-850 ENVIRONMENTAL ENGR <br />AND CONTRACTING INC <br />UNIFIRST CORPORATION <br />Tender detail <br />CK Ref#: 1793 $211.00 <br />Total tendered: $211.00 <br />Total payment: $211.00 <br />Trans date: 12/12/03 Time: 16:27:46 <br />BUSINESS HOURS: 9 AM - NOON, 1 <br />PM-5PM <br />u ry/LI <br />VA <br />�— <br />I <br />Fee(s) <br />1 I r <br />-- o � <br />Tota/ Fee: <br />Ste. Zip <br />Telephone <br />Telephone (� I <br />(�(n <br />I have read the above application and know the contents thereof; the same is true and correct. I further state that <br />I am familiar with accepted fire protection and prevention practices as set forth in the City of Stockton Uniform Fire <br />Code, and the amendments thereof, and use of.the permit being applied for will conform to these practices. <br />.Applicant's Signature: Ck#� Imo% Amt. <br />Inspected/Issued by: Code: 5ALL(aty) R6 0 (county) <br />Date Issued: <br />.ODMA\GRPW ISE\COS.FD.FD_Library'.3995.1 <br />White: FPD File Goldenrod: Finance Yellow: FPD Deposits Pink: Customer <br />