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W <br /> 'IF[CATK OF OCCUPANCY R011 JG FORM <br /> Permit Number: ssea sor Parcel No. 7S=/ZO-Oyf- DS" <br /> Ilse of Structure:__- 9si / ---q � _ S ,-q <br /> Address of Structure: <br /> -3039 -s _E/ Poe-e <br /> Owne r s `S cF/.4WMTo '0is.0•t�]��5,Add res s :`- .3 Z 3 S Z["� DD / <br /> __// �l o <br /> Contractor: .S�joeAlaTe Agles �1 Contact Phone No. s 'A65f-77 <br /> Occ. Group: 45-2/ Type of Construction:_ Kil Zoning: <br /> Sprinklered: /r0 Occ. Load : 2 S Area Separation Wall i Lieu <br /> Square Feet 000 of Sprinkler: <br /> ---: <br /> _:! <br /> Before a final inspection can be made by this Building Inspection <br /> Division and prior to issuance of a Certificiitda! of occupancy by the <br /> Building Official, approval signatures must be obtained from each <br /> agency listed below. It is the applicant 's responsibility to obtain <br /> all signatures and return this form to the Building Division. Please <br /> be aware that advanced notice and field inspection time may be required <br /> by each agency prior to signature. <br /> Public Works Department : <br /> Approval Signature Date <br /> HENRY H . HI RATA, 1)I RECTOR, POBLIC WORKS DEPARMENT <br /> by Al Dlevins, Field Engineer <br /> Comments: <br /> San Joaquin Local Health Distri <br /> Approval Signatur ► <br /> Date 2-��- � <br /> C. LELAND HALL, DIRt,CTOR <br /> ENVIRONMENTAL HEAl:ftl DIVISION <br /> Comments : �alva a�/ arts ��c <br /> l/r 66 [_r_cS z✓� �drre� �G �o/v�G_ Sc rS, �'/B S "4 <br /> WrrO C �i drC �P�✓�r�w -7, Le'yi.7i f�?/ �0� <br /> 7-1c, ,i �a►.+ /� <br /> A XT lvrFc,Eers , 3/s/ S. /- y 99, 9ye-6�'7y' -=�✓ �'�6-"-�'7s a� <br /> ifs fiv 5i. e, <br /> San Joaquin County Fire Warden or City of Stockton Fire Department: <br /> Approval Signature Date <br /> - STEVE THIENES <br /> COUNTY FIRE WARDEN <br /> Approval Signature / �c � ���..-� Date <br /> APPLICABLE FIRE C1 ll'-F AND FIRE DISTRICT) <br /> Comments: <br /> ( 11/85) <br />