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_ R002 <br /> FIRE DEPART'MM N_ <br /> CI:1"Y .OF STOCK'l'ON <br /> FIRE P REVENT ICS Bi1RxAO <br /> CITY HALL <br /> 944,827.1 q4 <br /> APPLICA.TION FOR pERMIT SPECIAL INSPECTIG OR PLAN APPROVAL <br /> Application & Permit No. Z &_ .�.` Date:, <br /> Application is hereby made fox` 'a as required by the IL <br /> Stockton Municipal Fire Code, <br /> Article (s) <br /> Section (s) <br /> I�1e <br /> Fee Schedule, Fee Required- <br /> THIS _ IS TO BF.USED POR THE FOLLOWING PMMsE(S) <br /> i <br /> LOCATION WHERE IS TO BE USED: <br /> OCaWANT: de— <br /> ADDRESS: Q <br /> PHOW: <br /> 'WE OF GIHER PL�sms MLVED. (IDDNTIFY CON' rRACTOR, INSTALLER, ETC.) <br /> 'NAME` i <br /> ADDRESS: : <br /> WONE. <br /> I have read the above application and know the contents thereof: the same is true and <br /> correct. I further state that I am familiar w.ith .accepted fire protection and prevcn: <br /> tion practices as set forth in the City of Stockton Uniform Fire Code, and. the arrtcrtc�- <br /> '.ments thereof, and that the use of the permit being applied for will conform to these <br /> practices. <br /> Applicant's <br /> Signa _ : <br /> _ 4/ '9'.1 <br /> FINANCE DEPT: INSPECTED BY- <br /> Pls collectA", <br /> fr1. - f?- <br /> Address A,2 <br /> The sum o do Lars r 2, <br /> 'Finance Dept. By: p <br /> (late: -ISSUED BY- <br /> DATE* <br /> DATE: <br /> Revised 5/22/74 <br /> 'I <br />