Laserfiche WebLink
Pershing Gas, 4445 N . PershingAve, Stockton , CA 95207 <br /> d <br /> Stockton Fire Department re <br /> • re ven on v stop <br /> f 345 N. EI Dorado Street, Stockton, CA 95202 <br /> n (209) 937-8271 0 Fax (209) 937-8893 <br /> INSPECTION APPLICATION <br /> A lication is hereb made for a ins ection as re wired bv the Stockton Munici al Code. <br /> Applicant complete both sections below <br /> Application Date: l-f - / - / i Location: City County ❑ <br /> Describe Type of Business/Services: i7 Fal .f l 6�r "S1-U C // %!n/*"I <br /> Business Name Business Owner A ��f�t/ <br /> Business Address F✓• 7 L r Suite Zip rc <br /> Mailing Address </, if/ S /%!,�1i.-� /9,/f Suite Zip lC cj <br /> 3usiness Telephone Zo Z,gam/ R�3 Contact Person a�( <br /> 6MaiI Address 1'44 iJ 77�l �l�i-±'/-7 6- z%✓z y',-ft I'• <br /> Inspection . - <br /> Check type of Inspection: <br /> &Special Inspection-City (charge per hour) <br /> ❑Special Inspection-County Contract Areas (charge per hour) <br /> ❑Permit and Code compliance Inspection <br /> F ❑Permit and Code compliance Inspection after 2e Inspection(charge per hour) <br /> } ❑All other Field Inspections (charge per hour) <br /> j Describe purpose of Inspection:_ <br /> 1 . <br /> e <br /> f r <br /> APPLICANT SIGNATURE i DATE s <br /> PRINT NAME: <br /> BELOW FOR OFFICE USE ONLY <br /> -A r <br /> Fire permit <br /> Page 3 of 5 Photo taken on April 3, 2015 <br />