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11/08/2008 08:03 FAX 2094683163 SJC_COMhi_DEV �j001/001 <br /> CERTIFICATE OF OCCUFIANCY ROUTING FORM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E_ HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209)468-3124 <br /> BUSINESS HOURS: B:A.M. TO 5:00 P.M MONDAY THROUGH FRIDAY(EXCLUDING HOLIDAYS) <br /> Permit No_,()7.w3 AContractor: <br /> Job-Site Address: Use of Structure: <br /> Planning Applfcatlon Na: <br /> OWNER NAME AND ADDRESS <br /> Nam-: aryl LfC ' <br /> Address: W 3511�_ <br /> City: �� Ci►�I�Y� j Stater ZIP: Telephone:(�� ? 2`� <br /> STRUCTURE REQUIREMENTS <br /> Occupancy Group: Occupancy Land: <br /> Type of Construction: Square Feet: Z F72-0 P.O /a <br /> Zoning ; x Fire Sprinklers: es o <br /> Before a final inspection can be made by the Building Inspection Division, and prior to issuance of a Certificate of <br /> Occupancy by the Building Official, APPROVAL SIGNATURES must be obtained from the agencies indicated below; It Is <br /> the applicant's responsibility to obtain all signatures and return this farm to the Community Development Department. <br /> Please be aware that advanced notice and a field inspection time may be required by each agency prior to signature. <br /> NOTE: PLEASE BRING YOUR APPROVED BUILDING PLANS WHEN OBTAINING SIGNATURES ON THE CERTIFICATE OF <br /> OCCUPANCY ROUTING FORM. <br /> r <br /> APPROVAL REQUIRED: DATE: f <br /> DEPARTMENT F ELIC WORKS <br /> � <br /> C <br /> ENVIRf)NMENTAL HEALTH <br /> COUNTY FIRE WARDEN <br /> FIRE CHIEF - -- -- <br /> LOCAL FIRE_DISTRICT: <br /> CALTRANS <br /> MOUNTAIN HOUSE CSD <br /> El <br /> STOCKTON METRO AIRPORT(209)4$e-4700 <br /> 13 <br /> OTHER <br /> 13 <br /> OTHER <br /> NOTE TO DEPARTMENTS LISTED ABOVE, Your signature indicates that your conditions have been met and authorize <br /> the Community Development Department to complete a final inspection, <br /> Once the required signatures above are obtained, return this form to the Community Development Department. A final <br /> building inspection will be scheduled at your request. A final inspgtption will not be schedule until-this form has been <br /> completed and returned. <br /> i <br /> �FABUILDING%HANDQUTSIHANMOUT 072 C&D_do.(Ra"ad 2125(44) Page 1 of 2 <br /> e <br />