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r C • • <br /> City of Stockton <br /> Fire Prevention Division <br /> 345 North El Dorado Street. <br /> Im Stockton, CA 55202 <br /> SAVEESE- NES "'s; 03;-02„ <br /> PERMIT AND SPECIAL INSPECTION APPLICATION <br /> G� City ❑ County ❑ <br /> Permit No. `� — `3 Za Date <br /> Application is hereby made for a permit/special inspection as required by the Stockton Municipal Code: <br /> Art./Sec(s) Permit(s) Fees) <br /> ��01, 3 gang aj Q <br /> Comments: 1-.IlvI MOV,U4 71721,zk,17 r^ \ Total Fee: <br /> • �z o.tE t 00o C ssou cInon t% -F--( . <br /> Business Name V— �`��— tNlaAr�tJ4L <br /> Address .-1'1101 'T1k2-r-� 0' S1aAxJ+.—cP Ste. zip `4n2-10 <br /> Telephone'" C2oq) <br /> . i Z : C2o4� 4-13- 0909 <br /> Contact Peson � �-� ", F,a�-�� Telephone <br /> Business Owner <br /> BillingAddress , l01 <br /> Citymli 9V,-2-\c Telephoria (zc)j) <br /> 1 have read the above application and know the contents thereof; the same is true and correct. I further state that <br /> I am famTar with accepted fire protection and prevention practices as set forth in,the City of Stockton Uniform Fre <br /> Code, and the amendments thereof, and'use of the permit being applied for will conform to these practices. <br /> AApplicant's Signature: h 4hA \ Code: 555 Ck# <br /> .•,, <br /> �.;w. -1.7• Amt.3 a� <br /> Inspected/Issued by: <br /> Date Issued: <br /> T:%FJREPREv1FORMWERMITS.WP0 RECEIVED NOV 0 8 1997 <br />