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1 <br /> N,H <br /> CERTIFICATE OF OCCUPANCY ROUTING FORD <br /> C{'•, ip <br /> 4tixoR� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E.HAZELTON AVENUE,STOCKTON,CA 85205 <br /> 5 I L BUSINESS PHONE(209)468-3123 <br /> )n 4 APN: 363 66 - 31 Business License No.: <br /> Permit No.: 1 <br /> Job-Site Address: i ' s " �-fi Use of Structure: ( +° <br /> wing Business As: • >•"t; ,s %f._% Planning Application Na.: - e M- . 1 <br /> ».. ; OWNEI NAME AND ADDRESS CONTRACTOR NAMI AN-sIAI7DFtIW$$ �`- <br /> Name: `(Al ��,1 ���' C�� Name: �: <br /> Address: s " :.: M:( ' ;� '.3 s { `¢ a✓ + Address:' 1 3 <br /> City: + iy`L State: _s�`i., i ckY_ �- ;, State: ,. : <br /> ZIP: PH: ZIP' �` 'r PH: � j <br /> , b, �; STR<1CT{JREIZEQUIftE EIV k ; ,' �' <br /> Occupancy Group: Occupancy Load: <br /> Type of Construction: Square Feet: " <br /> Zoning: ti .. ef Fire Sprinklers: Yes di; <br /> Area Separation Wall in Lieu of Sprinklers: Yes (/old Heated/Cooled: Yes 11- ; <br /> Before a final inspection can be made by the Building Inspection Division,and prior to issuance of a Certificate of Occupancy by the <br /> Building Official,APPROVAL SIGNATURES must be obtained from the agencies Indicated below. itis the applicants responsibility to <br /> obtain all signatures and return this form to the Building Division. Please be aware that advanced notice and a-field Inspection time may <br /> be required by each agency prior to signature. If your project is in a flood zone,the Building Division must have the Elevation Certificate <br /> properly signed before approval can be granted. NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING <br /> SIGNATURES ON THE CERTIFICATE OF OCCUPANCY ROUTING FORM. <br /> APPROVAL REQUIRED: <br /> DEPARTMENT OF PUBLIC WORKS DATE <br /> G <br /> �NVIRONM�ENTAH! EALTHDAY.Ef <br /> I <br /> I AIR POLLUTION CONTROL DISTRICT DATE <br /> COUNTY FIRE WARDEN DATE <br /> FIRE CHIEF DATE <br /> LOCAL FIRE DISTRICT: <br /> CITY OF STOCKTON FIRE DEPARTMENT DATE j <br /> � I <br /> CALTRANS <br /> DATE <br /> OFFIC!`OF EMERGENCY SERVICES DATE <br /> COMMUNITY DEVELOPMENT THOMAS SWEESO 468-3184 DATE <br /> i <br /> NOTE T <br /> fbr,s O[)EPARTMENTS LISTED ABOY Your signature indicates that your cond�tions'have laeen met, Ue the reversq'side of this <br /> m to note comments olcontlitions„ontopproveaemporan} !.N <br /> Once the required signatures are obtained,return this form to the Building Division. A final building inspection will be scheduled at your <br /> request. A final Inspection will not be made unless this completed form has been returned. <br /> 01!2001 <br /> ” I <br />