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CITY OF TRACY <br /> 520 S.Tracy 61Yd. <br /> Building Inspection Division APPLICATION FOR INSPECTION REQUEST Tracy,California 953M <br /> City of Tracy BUILDING PERMIT (209)8362775 (209)B31s2M <br /> I Job Address 1131 HOLLY OR 1Rt Bldg# Suite# SulTdivision LtN# <br /> Assessor's Parcel No. 233-120-0011- <br /> 2 Project Description Or Comments RENOVAL CF UNDERGROUND STORAGE TANK <br /> 3 Permit Class(New/Add or Alter/Conversion/Remodel) ADDITION <br /> 4 Permit Type Building Mechanical Electrical Plumbing Sign <br /> M.H. Lot Demolition Grading Other <br /> 5 Property Owner(s) I. NOACK, ROBERT E 1R f; ROT4 2. <br /> Mailing Address 3500 NOOOSIDE Re City/Stale WOODSIOE CA <br /> Phone Number Zi C(KIC 94062-0000 <br /> 6 Occupant/Business Name Phone No. <br /> Business Owner's Name <br /> 7 Contractor's Name SENCO Hiring Licensed Contractor's(Y/N) <br /> Mailing Address 1211 SOUTH 7TH ST City/Stale HIM ESTO CA 95351-0'5-3^, <br /> Phone Number 1-209-524-9653 Com. St. Lic.# 449064 <br /> 8 Project Manager's Name Phone No. <br /> 9 Lender Name <br /> 10 U.B.C. GroupU.B.C. T Height (FT) Stories Plan No. G0O 0 <br /> ill Census. Area, Value, Assessments: Census No. 437 Private Owner? (YIN) <br /> Cell Census Number Description A/D/Y Per Bldg. BVD Units No. Sewer Water <br /> Sub Code Area/Value Code Per Bldg. Tens Tens <br /> Code Or Cu. Yrds. Bldg. of cfm of efm <br /> 4 A/R NON- RESIDENTIAL BLDG' $ 11,700 30 9 1 <br /> Total Area Total Value/Yards Zoning District GNS <br /> THE FOLLOWING PRELIMINARY FEES ARE SUBJECT TO CHANGE BEFORE PERMIT ISSUANCE: - -- - <br /> FEE REC.1 FEE REC.f <br /> BLDG. FEE 001-1200-iOG-421 <br /> PLAN CK. 601-7400-420-001 <br /> NECK. FEE 001-1100-100-424 <br /> ELE-C. FEE 001-7200-100-422 II� (�\ - - <br /> PLNB. FEE 001-7200-160-423 J - <br /> SNIP-Res. 001-0000-221-006 ` DEC - 9 <br /> SNIP-COINAG1-0000-221-006 <br /> NISC. FEES, OA <br /> �— - - - --- - --- - TOiA! - -- -- <br /> AN'?ANT PAID i — •'30 <br /> I, BALANCE S .00 <br /> Application Number 16922 Permit Number 23629 Activity Code P MS- 0 <br /> j Application Date 12/02/95 Issuance Date 1N 109196 Activity Date 12103/96 <br /> iBuilding Division Approval Date Planning Division Approval Date <br /> Inspections are Required - Request them 24 Hours in Advance <br /> OWNEFUBUILDERIINFORMATION WORKERS'COMPENSATION <br /> �Ii 1MfeY en.m nNll.mY[.nw 11•e,.vx.�+•MaacMa.r9aol.n.M••w.mm s.[oM+aaplaoN•fall 'H.•MYMMnxm 111MaP.rw[�amaw b,alMs...>.[.•M,aeawPlar:rel..a.14n X.F•r.•�. <br /> 5 a N Buvmef aM Prulegpn Cppe,eM mY lxame a n tun bice arM aIIM M a RaMa cap/,MM 15ee 90W.LW CT <br /> O LiN.e a Cry emx•ev Party. 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X-O.ne <br /> W teNw a <br /> Q- . ISSUED 8+ DDif <br /> W <br /> WHEN PROPERLY VALIDATED A THIS FORM CONSTITUTES A BUil-DiNG PERMIT <br /> TNIS APPLICATION 19 A <br /> iO.DLLOOFTHE VMROASONS OF THE SULONG CODE OF TH15 CX`ANDERELAXED EES ARE LNS TNSOD IPEAMIT BECOMES NULL ANDNIDIO IFE GRANT FD TO�YANA SSUCH MT COMMrENCED anTTSN Ida DIP FAK tNE pWP <br /> At� <br /> SSWNCE.OR 1f WORK IS SUSPENDED aT ANY TIME DURING�ONStRUCi10N FOR MORE THAN IN DAYS,AND PRW10E5 FURT11EP,rS415UCM 5U3PEN5aY1 OP A50N G01dMFOd-eYeTF [OpY YEAn <br /> Whin-Working Copy law. pink-File Copy lle" — — <br />