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City of Stockton <br /> Fire Prevention Division <br /> s 345 North E/Dorado Street <br /> 'r. Stockton, CA 95202 <br /> ) 937-8271 <br /> PERMIT AND SPECIAL INSPECTION APPLICATION <br /> City County ❑ <br /> Permit No. 3 32, Date ZZ -17- 7 <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 /> A. <br /> Comments: Tota/Fee: <br /> Business Name - <br /> - Addressx Ste. Zip <br /> Telephone <br /> Contact Person Telephone 1 <br /> t <br /> Business O.w.ner <br /> Billing,Addie , r le <br /> City/Zip > .r Telephone ( ) <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 /> XDApplicant's Signature: r . e - Code: _A Ck# <br /> Amt. <br /> Inspected/Issued by: <br /> FFIREI <br /> Date fssuT.IFIREPREVIFORt SS\Pg( IITS':WPD,elloWiv Fire Co "'' Goldenrod: Check Green: FPD <br />