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rermrt Center 2D9 937 8893 <br /> P. 03 <br /> City of Stockton <br /> Fire Prevention Division <br /> 345 North E Dorado Street <br /> _ Stockton, CA 93202 <br /> (209)937-8271 <br /> FIRE PERMIT AND SPECIAL INSPECTION APPLICATION <br /> City O County Q <br /> Permit No.Q(D �, Date 12/18/00 <br /> Application is he made for a pennitlspecial inspection as required by the Stockton Municipal Code: <br /> AArt7/Sec(s) Permits) Feels) <br /> 1 Underground Tank Removal 200.00 <br /> CO/t7mentS: Remove <br /> 21) 3.000 gallon Diesel Tank TOW Fee: 200.00 <br /> L-OG d l 0 Y�\ -tom <br /> %Alii�31iiE_ Pacific Bell <br /> Address 1413 Bourbon Street. Stockton Ste. _ Zip <br /> Telephone (209) 943-4014 <br /> Contact Person Jonathan Yee _ Tel 916 972-6856 <br /> � <br /> __, <br /> -,CSusinessOWner/Contra=r Fuller Excavating <br /> Address 3283L ng Drive _ <br /> CitylZip_ Rancho Cordova, Ca. 95742 Telephone ( 916,, 858-8300 <br /> I have read the above application and know the contents thereof;the same is true and correct_ I further state that i <br /> 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 Wil conform to these pracbcee. <br /> — �n�Ba <br /> .eAppliant's Signature; Ck 2� Amt-�00 _ <br /> Inspected/Issued by:_ _ Code: 6491(cry) Rb ❑ iceuny) <br /> Date Issued: <br /> — ::pA.u1dRPWI5E1C0.5 FD.'p,LIltt7:399:1 � /rE,�1 O <br /> �I � w <br /> White FPD Fele Goldenrod: Finance III I � ,GreerrtF�Creaoos. D ?ink Customer <br /> _ i � Uttlh, L L000 <br /> i FIRE FR`VE-NTIOf'> DIVISION <br />