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WR { �✓ iyrk t�, ,.^� w ('{,x �ni=k <br /> '}_ qi �S 5�..f.,•'�'Fti•a '��f - / k?,rve�W�w... �'$..'`�5�i � e.�'i Y�.: .%.� t�FS�"'., �. <br /> City of Stockton - t -� <br /> Fire Prevention Division; s <br /> � a-•-"YF,z :. .345 No��� �$IrEBt t �•` ��,�,,c 3•� 4 � '�.�,.`._ "�� �`'Y'� �,�,��i` <br /> CA 95202 <br /> iii <br /> Stockton, ' � <br /> ` ' n <br /> y} PREVENTIO (2osi ssvsz <br /> MIN <br /> . � -"�A <br /> SAVJ <br /> PERMIT AND SPECIAL INSPECTION APPLICATION <br /> ::: <br /> city 'C ❑ <br /> Permit No. Date <br /> - <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Art./Sec(s) Permit(s)' Fee(s):`.. . <br /> Comments: Total Fee: <br /> Business Na e J�JG �C� <br /> Address - Ste. Zips <br /> Telephone <br /> Contact Persons /71 Telephone —� <br /> Business-Owner <br /> Billing Address ' ' <br /> City/Zip = Telephon ( 1 <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 /> Appllcant s Signature Code �~Ck <br /> ' r �iv�R w`tJt�M�}'``n��5 ,tttFs.� C t F -' f,- �. ✓ - to i�'.r l-J1' ��` ''1""i t '' �// <br /> r�yriK a'Siy'oi .•.. 'E� ��yR. _ 4 '�. .-^;x�'"r ` �����A�m��..,, ,n. (/.�..D� r .. <br /> v t <br /> j� Iris ectedJlss edb u rz" _� _" i .,- "" f._,i tlDAIN* <br /> , <br /> t _ <br /> .^' 7�FIREPREV�FORMS�PERMIT$WPD%"' ,'y r t ,.�, vra �?•w* t" 'k+'ir. i c v Ma D <br /> 1 <br /> 10 x' <br /> {FDEC <br /> x t4 <br /> v. <br /> ' v l 3 .•C y'. # kms"°.. ' R' a'raso 'i <br /> White Flle „ Yellow Fire Co wt y`Goldenrod: Check, Green FP FIRE PR$(��LTy,{ pN i + <br /> 4�"�.-.'aur'��`��� �F�JI'._ � '`YS 1__ '���—=--�+1"'' y".� '• -`t k'G4 �:'�*'„�.�,t`�.T"�+•I$5'`�v�. n�.'.ci <br />